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City of Everett Work AcEivity <br />Seruicc Rryucst H ��j l � 7 L� l� <br />�raer incormannn <br />WO#Assigned aV�� �� <br />Date fesued <br />Issucd By � <br />Initinl; �ulf nnmc <br />Fund � � Program �'"p [unction G � <br />JoG Cos! No � U-� Project No. <br />Title I S� ��� GtioJ1�L ,�n-P f.�1 u«/''tir..7— <br />Itel Work OrAer a� '3 � � <br />Address Predirection <br />Street <br />762 � - u� «��• � <br />c�fy � <br />'!f rmt '��UGTCiY� c��L'Ltfy ri�hich City <br />Activity �, ` <br />Problem Information <br />Sheet PostdirccHon <br />Type <br />�A� l� <br />SEruct/Equip Typc Problem � <br />StructfFquip iVo Sub Prablem <br />Struchire/Equipmenth/�+ewltennyplicuble � <br />Feet �� Descriptivn <br />Comrnertts a�� � 7c> :(�o-U; c.l j' I: v�/l.j�K'� � l�G��Cne � Ce�'� P�,S <br />p� p� �. 7y o��� <br />5r n: �n��.�. � o� Tx 7$,� 7� <br />�C�.�.-C'��_' 7 <br />Bold Type = MIaaJ�lory firlds tu Ue populated <br />Iralic = Opliona! fielJs <br />S:�lS�ilioglN'0 RO\W RA.1C7 V 1' 1.�kc <br />7 <br />_ ,�' 3��. �3 <br />