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City of Everett Work Activity <br /> Work Order Information <br /> Service Request N — I WUN AssignedUR?R? (ry <br /> Date Issued ^s 1 — 9 <br /> Issued By LaT -Ts E,N <br /> Initials Full name <br /> Fund ® � Program o Function Eli Activity 6 7 <br /> Job Cost No C� Project No. F <br /> Title T t o Ate( ' M H tw <br /> Rel Work Order t9 3 <br /> Problem Information <br /> Address Predirection Street Street Typc Postdirection <br /> 3a F I y <br /> cin, <br /> 'Ifnot "Everett"specfywhich City* <br /> Structure/Equipment Information <br /> Struct/Equip Type A Q— Problem <br /> Struct/Equip No6 is in Sub Problem <br /> Structure/Equipment type when applicable <br /> Feet Description <br /> Comments 7'Q AA.J-C CF r"m gV ,) 4' <br /> Bold Type a Mandatory fields to be populated <br /> italic o Optional fields <br /> FORMS:W RKACTVY)(CM 01(26/99) <br />