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City of Everett Work Activity <br />Work OrderInformaHon <br />Seruice Request #��� G7� �,� WOM Assigned b5 <br />Date Issued '7 — / s — D � <br />Issued By U/�/l-?-� G,/��G�it/�ti/ <br />Initials Full name <br />Fund �� / �5 Program �� O FuncHon � <br />Jo6 Cost No � ��� Project No. <br />AcHvity 67 <br />Title ��2 .% ��/iGE S%.2. Lo�nB 7/v i/ ± �'� 5� <br />Rel Work Order <br />Address Predirectio Street Street <br />n Type <br />S 7 Z � Lo r�. ��-,e� � <br />cr� <br />"If not "Everett" specifij rnhich Cihf <br />Postdirection <br />0 <br />I�LCORDS <br />5EP 0 7 20�5 <br />Slruct/Equip Type Probl�m ���-� <br />Struct/Equip No (,f s OS8'�,���j Sub Problem �y� <br />Stn�cturr�Equipment h,/pe eohen applicable <br />Feet � Description <br />Connnents <br />'(�LL.. G�LT <br />PON\15:1VR}:AC'1'VY3 (CAI 01/2G/9l) <br />