Laserfiche WebLink
� I <br /> �� % � _ 1 <br /> f �qc� 1 <br /> Service Request , :�������� �:�� � <br /> Request Information <br /> Request No 0oo744ez Date tt1612ooa Time 01:33 Status PR <br /> Recorded By S�T SKAGEN,JEFfREYT. <br /> Billing Code <br /> Customer Information <br /> Customer Name sNOPac Customer ld <br /> Address <br /> Apartment No City Z�P <br /> Phone No ( ) Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1os21 Street 19TH AVE SE <br /> From Cross Street To Cross Street <br /> Initiated From OTHER OTHER <br /> City Subdivision <br /> Problem Details HYDRANT OUT OF SERVI�E REPORT.THE HYDRANT AT 70921 19TH AVE SE HAS BEEN HIT BY <br /> A CAR AND THE i OP BROKEN OFF.IT IS NOT LEAKING,BUT IS INOPERABLE. <br /> Pfoblem WATER WATER <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To KTJ KELSO,THOMAS J. <br /> Responded Date (l-�—`d Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken FORWARDED TO UTILITY DISPATCH fOR LATER ATTENTION.1116 0741 CHG SVC BY TO TOM <br /> KELSO.IHSR <br /> Completed By: Date: � � <br /> Logged By ���L- �`6 � / <br /> /l�t tYt-C l-t(� fj/'u..,�i,i,,i..J� �.rl / ��e�t w-L �`��-�-� <br /> ��l.J ���� �I���v � <br />