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City of Everett Work AcNvity ':�: <br /> • .: <br /> Work Order Informatlon <br /> Strvin Rtqwat M Wpg�yy�� '. <br /> :M1. <br /> :+i, <br /> Date L�sued ,y- � - 9 ` � <br /> .`� <br /> ���s,� c,� C 2E6 A h Q.,s �� <br /> lnleials Fu!!rwme <br /> Fund L f p � �5 Prognm �]� d Functlon ��3 Activity F 7� <br /> Job Catt No � - � -� Projecr No. <br /> Tiete �2.p �ac.e "•3�. /S'7�4 � ✓CkL+. <br /> , r, <br /> Rcl R'ork Order (; <br /> :.h <br /> ..,j;. <br /> Problem Information 4 <br /> � � <br /> Address Predirection Street StreetType Postdirection ' <br /> 'S° � ❑ u� � � 0 :�; .; <br /> . � <br /> ti <br /> Crty <br /> ��t <br /> 'Ijnor "Everetr"spec�whrch Ciry• .': <br /> / <br /> .; <br /> Structure/Equipment Informntion ;'7��� <br /> . �;,^. <br /> Struct/Equip Type Problem ' <br /> Struct/Equip No �/L, � $O� Sub Problem � � .``N <br /> Strucrure/Equipmen�rype when applicoble <br /> e <br /> Feer � Descriprion . <br /> Commenfs <br /> Bold Type=Mandatory fields to be populated , <br /> lfalrc=Oprronal fieldt <br /> FORMS:W W:ACIVY3(CAI 01 R6/99) <br />