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� City of Everett Work Activity � � ,,;; <br /> Work Order Informadon ',� <br /> ;.:iS,�ji <br /> ScrvlceRequaf k daDO /3(o WOI�AssiYnM O :=•,.:� <br /> DateLu::^d j-L9 .�'�"�`� <br /> Luued B�y A l� � � f1 '.�;:�. <br /> Inrtials Fu!lname ; .'r'�� <br /> Fnnd d � 5� Prognm -�� p Function �o AcNvih� � ZS' <br /> Job Cost No � - � -� Project No. <br /> Title �a��i Z� // �4p .e. �f <br /> r. <br /> Rel R'ork Order � <br /> Problem InformaHon . ; <br /> Addras Predirection Street Street Type PostdirecNon ""' <br /> � � ^ I�,f <br /> a.�il ❑ �YW-v(e � 7' , `';; ~r. <br /> _�, <br /> � <br /> r4�t'1. <br /> �.,i s' <br /> � � ' � .+`,�= <br /> Ciry _ ::;�:`s; <br /> ',,>;;;k. <br /> '/Jnot "Everett"spec�whfch City• . ;�'.';- <br /> . ,�. <br /> r <br /> .:i; <br /> j _:�%` _ <br /> •.r,:�:�^� <br /> _ �`i� <br /> Structure/Equipmeot Ioformalloo <br /> Struct/EquipType sE S Problem 5��� <br /> Struct/Equip No SS O S TO S$ Sub Problem � <br /> StructurelEqiripment rype when applicable <br /> Feet � Description � <br /> Commeras <br /> Bold Type=Maodatory fields to be populated <br /> lralic =Optional fieldr <br /> FOR,�15:W R1:At,'NY1(C�I O IC6/99) <br />