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City of Everett Work Activity <br />Wnr{c nrdar InfnrmaFinn <br />Scrvicc Rc��urs[ H G 6S j3 WO� Assigned (��j1� � � <br />Date Issued <br />Issued I3y �_� I <br />Initinl; �idl rmmc <br />Pund �3c $� Program ��d Function �G� <br />A�t���ry 6�r <br />�ob Cast No � �� Project No. �� <br />Title S,cJIC'C�.7����� ILP�J�t�cC>M2��i" � <br />Rel Work Order 'aC�,S Q. � <br />Address Predirection Street Street <br />Type <br />� I�� � �7r= 5( <br />City <br />'(f not "Enerett" syecify tnhich City <br />Problent inFormatinn <br />Postdirection <br />- <br />lnturmation <br />StrucF/Equip Type Problem <br />Struct/Equip No Sub Prablem <br />Sfruchire/Equipnnent h���• zolien npplicahle <br />Feet � Descnption �� <br />CO1)tt/!cllfJ Q��, �($ n {,r�'^�'�'^ �`�Qs,ji�1 <br />l5r� i�'� 5,- <br />F� �-e�, �.�; a 4�s�� ( <br />�..�c2i[{ <br />Bold Type =�fandatory felds to be populated <br />Italic = Opliottalfralds <br />S:I:SilIin.RPORDI0.AFL\CT�'17 ,Lx <br />