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City of Everett Wurk AcNvity <br />Work Order lntormad�ou <br />sr.vtccRryaesrM ,�,q woaAssiQoea Iqq <br />Date Luued �s'- y� � <br />is9�ea sy �lEt �I C/1Er'a � � <br />Jnilials Ful! name <br />F�ed [.1p� � Program [��6 <br />JobCostNo � � -� <br />Title /{ � /L, <br />Re! Work Ordrr � � <br />Address Predirectioo <br />Street <br />F�o�tioo � o y A�h���y 6�.r <br />Project N�. <br />Problem Information <br />Street Type PostdirecNon <br />�.s� � ❑ � �'�y � —� � C� <br />Ciry � -� <br />•/fnor "Everert" spec� which Ciry• <br />Information <br />Struct/Equip Type � � �.,�/C Problem S�W �L <br />Struct/IEquip No S' �3 p, ,e p�� Sub Prablem S S <br />_ Str:rcrnrelEqu�pmenf type when npplicable <br />Feet � .Oescription <br />Commenls <br />Bold Type = Mandatory fields to be populated <br />!m/ic = Oplional fieldt <br />FORMS:WRt:ACTVY3 (C�i 01l26/99) <br />' __ .,s.4`: <br />' w <br />:.`�f � �rrk <br />�; <br />4;;�; <br />. %•;.?s� <br />" „.2k�. <br />�? <br />�; � �-io-� <br />;,� <br />. :.:: .:. <br />, ,� <br />:�� <br />_,N,.. <br />� =:;�. <br />. .' �l^1��. <br />:; :. <br />`�: <br />'y' ' <br />�; xXs� <br />>;.': . � 'g;_ <br />L. y �`: <br />�.�1�� <br />���ie� <br />.:� .-,�.:. <br />-'�aa 'f4�'* <br />�`'�'' �s.. <br />: ;'� . <br />: �:.�r� <br />. .::zs <br />.. .' ..'P:.��• <br />.� y <br />.,;� <br />;t; <br />