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City of �verett Work Activity <br /> Work Order Informatior. <br /> Serui�_ Rr��iirst k �a�c S� G �r � WOri Assigned a�� ,� l'��j (�� <br /> Date Issued '� <br /> Issucd By I <br /> Irtilrnl± Fidl nrunc <br /> Fund L/�—J � Progcam g��u Function �,� Activity �'(/ <br /> Job Cost No C] C] � Project No. 1 <br /> T'itle `�'ck> �1 I� �.�c�/�a-c2 ,M�-�� <br /> Re(WorkOrd�r 2GG�G 3� � <br /> ProUlem Inforniation <br /> Address Prodirection Slrcet Street Postdirection <br /> Typc <br /> 8�3 ❑ G�m�Z--a -� �'-" 0 <br /> c��y � <br /> '(f not "ErerefY'specify adiiclt Ci tq` <br /> Sh•ucture'E ui ment Information <br /> Struct/Equip Typc ProUlem <br /> Stcuct/Cquip l�u Sub ProUlem <br /> Stnictt:�cyEquipr;e��t h/pe witen nyZrficnhle <br /> Feet � Description <br /> Connnents �;I� '��� � La�-.c. rJTcw� <br /> �S� / H�,•; A�2. <br /> C�e-� .�� 1�.�� 9 82� l . <br /> �G��Gt'�eYc •• )[+�c}.� Cr./� 7 's Cr )G/[,l Z� <br /> Unld TVpe=hlandatory fields tu be popuDrted <br /> Iraftc =0[rliorral fi�'!ds <br /> >:x:9m'.��.d:ICOFU:I\Y.I:.�C1'�'i).d:: <br /> � <br />