City of Odessa - TX : Business

09/02/2010 3:37 PM CST

STREET/ALLEY SERVICE REQUEST

To make a request to the Street Division of the Public Works Department regarding alley filling or blading, drainage channels maintenance, street sweeping, or any other duty related to street maintenance, please fill out the form below.

Please fill out the following information. Any field marked with a * is a required field.

* Name:

First

Middle (not required)

Last

* Address:

Address (cont.):

City

State

Zip Code

* Phone:

Daytime

Evening (not required)

Format: 432-555-1234

* E-mail:

Is this service request for a: Alley Street

If the request is for an alley, is the alley: Not Applicable Caliche Paved

* Service location:

* Description of service requested:

Please take a moment to look over the information you entered and make sure that it is correct.

When you are finished click on the submit button below.