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City of Everett Work Activity <br /> Wor�Order Information .k <br /> y.:� <br /> Smice Reques/# WOk Assigocd Q t <br /> DateL+.+oed �f—�„6 . 9 9 pt <br /> LanedBy �}�/.� Z <br /> lnittals Full name <br /> Fand Q� � ProSRm � � O Fuuction � oq e�n.�c� (e"�s � <br /> Job Cost No � � -� Project No. <br /> TiHe �i`iq� �L.� /.3 l7 K0 y <br /> Re!Work Orde� � <br /> Oem Informatlon <br /> Address Predirection Street Street Ty PostdirecHon <br /> ,3, � ❑ a � a <br /> �;ry � <br /> 'Ijnot "Everelt"apecify which City' <br /> Structure/Equipment Information <br /> � <br /> StructlEquip Type S�S Q�/C Problem s��Q� <br /> Struct/Equip No S'S 1 g' S �p3 g- Sub Problem S S <br /> StrucrurrJEquipment rype when applicable <br /> f'ee! �� Description <br /> Comwenrs <br /> Bald Type=Mandatory fields lo be populated <br /> /ralic = Optional frelds <br /> FORAIS:WRF:ACNYi(CM 0126/99) <br /> � <br />