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Water De artment
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Name �1� �1��i...�
Date �Q-�`L`�C7
Old Meter Number Q�� �7V
Old Meter Readin �
` Replacement No. �����3
Replacement Reading�
` ' � Replacement Make�'��I�'��
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Replacement ERT#
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F ,. � Request Number: 16495
Public Works Division
Service Request
Problem Address: S�86 Fillmore St&5588 Fillmore Requested By: Jason Wiehle
Department: WATER Address: No address provided
Problem/Issue: NRN WATER ON/OFF Phone Number:
Scheduled Date: 2017-07-28 Scheduled 15me: 10:00:00
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ACITON NEEDED:Turn on water so plumber can check for le , ,,,� � � '
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Created by: Wendy Hiatt ��� Date Created: 2017-07-27
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ACTION TAI�N: � ��n-`�� ``�
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, Status: In Progress Submitter Has Been r.
Contacted
Date Completed: Completed by:
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