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Service Request I,9` ' <br /> �, ��iz�o� �s�r,y <br /> Request Information <br /> Request No 000soo53 Dale sn9i2oo9 Time 13:39 Status PR <br /> Recorded By HSR HOFFh9AN, STEVEN R. <br /> Bi!ling Code <br /> Customer In(ormation <br /> Cuslomer Name PREMIUA1 CON�TRUCTION Customer ld JIM <br /> Address <br /> Aparlmenl No Cily Zip <br /> Plione No (azs ) 508-2852 Ext Seconci Pl�one ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2326 Sireet RUCKERAVE <br /> From Cross Street To Cross Sireet <br /> Initialed From PUBUC PUBLIC <br /> City Subdivision <br /> Probiem Details P�UGGED SIDE SEWER. <br /> PfOblBlll SEWER SEWER <br /> Sub Problem ss SIDE SEWER <br /> Down Dale Down Time <br /> Assignment Information <br /> Assigned To SDD STECNER,DANIEL D. <br /> Responded Date Responded Tin;e <br /> Left Date Left Tinie <br /> Work Order No. � ��n� g� a <br /> Action Taken � <br /> Compleled By: / Date: 1 1 <br /> Loyged By �i � �1/� c.n�--4--r <br /> Q- � � - �9 <br />