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City of Everett Work Activity <br />Service Request M Qp O Co 6f WON Assigned <br />Date issued <br />Issued By <br />Initial, full comic <br />Fund © 5-1 Program V1 Function o g Activity <br />Job Cost No Project No. <br />Title P^4" <br />Rel Work Order qcoos-C-7i--571 <br />7 <br />Address Predirection Street Street <br />Type <br />city <br />'lf not " Etrrctt" sperify which City <br />Struct/Equip Type Problem <br />Struct/Equip No EEEEI Sub Problem <br />Stnicture/F,quiyntent type when applicable <br />Feet Description I <br />Comments Q,71 ro; Alt�eJ C�^Si��.c�r.. (S«N Ojo <br />?7 Ccld , ASP <br />Y, <br />Bold Type - Mandatory fields to be populated <br />Italic - Opaoeal fields <br />sJC3~woeaMLKACr4nA- <br />Postdirection <br />w <br />