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City of Everett Work Activity <br /> Work Order Information <br /> Service Request N F WON Assigned �I G99 0 302 7 <br /> Date issued 1 3—(7- 9� <br /> Issued By a g �—:Z,, I�J <br /> Initials Full name <br /> Fund t{p( � Program Function / Activity 7 f <br /> Job Cost No I� Project No. <br /> Title <br /> Rel Work Order2 <br /> Problem Information <br /> Address Predirection Street Street Type Postdirection <br /> 3 r1 co ❑ (0 0 © s 7E <br /> city �— <br /> 'If not "Everett"specify which City <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem <br /> Struct/Equip No �S D'L r�s /D Sub Problem <br /> Structure/Fquipment type when applicable <br /> Feet —� Description <br /> Comments t6 <br /> Mild Type-Mandatory fields to be populated <br /> Italic m Optionalfields <br /> r0k%4S.WRKACTVY3 ICM 01/26/99) <br />