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Service Request <br />Request Information <br />Request No 00�3�50o Date <br />Recorded By ytcu <br />Billing Code <br />Customer Information <br />Customer Name JOHNSON, CHARLES <br />Address <br />Apariment No City <br />uiaizo�s T�me or.a� Status c� <br />tl�ALLAND, CHAD L. <br />Phone No (425 ) 388•3275 Ext <br />E-Mail Address mrsmomaj'a�yahoo.com <br />Problem Information <br />Address 1907 Sireet 22ND st <br />From Cross Street <br />Initiated From PUBLIC PUBLIC <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />=-'�o�=---i.._. <br />Ext <br />City Subdivision <br />Problem Details PER EtdAIL-�-••••--REPORTING SENIOR CITIZEN FALL ON 22ND MIODLE JUST EAST OF <br />ROCKEFELLER AVE. MY DAD 84 YEARS OLD RESIDENT 1622 BAKER AVE WAS WA.KING HOL1E <br />AND TURNED UP 22ND HE GO HALfVdAY DOWN SIDEWALK AND CAUGHT FOOT IN HOLE FULL OF <br />1�1UD IN SIDEWALK IN FRONT OF 1707 PICKETT FENCE. <br />HE CALLED h1E STARTED CONVER$ION WITH I WENT TO EP.9ERGENCY ROOh1 YES7ERDAY <br />1108115, BUT I'h10K.... <br />HE WALKED FROht VISITING HOSPITAL PACIFIC AVE AND WALKED TO 22ND AND FOUND A BAD <br />SIDEWALK WHILE GOING TOWARD BROADWAY AND LEF7 F00T STUCK IN BROKE�� SIDEWALK AND <br />DOWN HE WENT, HIS FACE, KNEE, HAND ALL LEFT SIDE HIT HARD •BLEEDING AND I.AYING <br />ON SIDEVJALK. LADY MAIL CARRIER STOPPED AND CALLEO 911 GOT PIRE DEPT. THEr E TO <br />TAKE HIh1 IN. 4 HOURS AT Eh7R. AND ONE STITCH AND A BLACK EYE, BANDAGES AND <br />BRUISED UP. HE GOT TAXI HOME LAST NIGHT AND IS AT HOME AND VERY SORE. <br />WE WEN7 THERE TODAY AND TOOK THESE PICTURES. PLEASE SEND HIM ACCIDENT RE�ORT OR <br />CLAIM FOR�d HE NEEDS TO FILL OUT. CHARLES A. JOHNSON SR. 1627. BAKER AVE, <br />EVERETT, VYA 98201. <br />IF WORE CONVENIENT PLEASE EMAIL IT TO I�IY EIr1AIL A��RESS BELOVI' AND 1 CAN GEl' !T <br />TO NI��I. <br />••••••••PER GOOGLE MAPS ADDRESS APPEARS TO BE 1 B07 22ND ST. <br />Problem STREET <br />Sub Problem SDWK <br />Down Date <br />Assignment Information <br />Assigned To s� <br />Responded Date 2naizot5 <br />Lefl Date <br />Work Order No 20050387 <br />STREETS <br />SIDEWALKS <br />Down Time <br />SORGEN, ROBERT A. <br />Responded Time <br />Left Time <br />Action Taken CHECKED AREA, SIDEWALK UN•REPAIRABLE, CLOSED SIDEWAIK AND ATTEMP7ED TO CONTACT <br />