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p�a��- i <br /> Service Request ;,.�.,,,��,� ��: :� 3 <br /> Req�estlnformation <br /> Request No 000es�oa Date v2eizoos Time ��:os Status PR <br /> Recorded By HSR HOfFMAN,STEVEN R. <br /> Billing Code <br /> Customer Information <br /> Customer Name EVERETT LIBRARY CUStofilef Id HABICHT,FRAN <br /> Address <br /> Aparlment No City Z�p <br /> Phone No ( ) Ext eo34 Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street RUCKER AVE <br /> From Cross Strer:t To Cross Street EVERETT AVF. <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Delails WATER COMING UP IN THE SW CORNER OFTHE ABOVE INTERSECTION ON THE RUCKER SIDE. <br /> WHERE THE LIBRARY EMPLOYEE PAKING LOT IS. <br /> Problem WATEk WATER <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To WMW WARD,MICHAEL W. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed By: Date: i I <br /> Logged By <br /> ;�� . <br /> � v <br /> w ,f��. i�'45 7'oy <br />