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City of Everett Work Activity <br /> Work Order informatior <br /> Service Request# WO#Assigned <br /> Date Issued 3 / 7— <br /> Issued By <br /> Initials Full name <br /> Fond , p I Program 7 <O Function / Activity IPl J <br /> Job Cost No ❑ Project No. <br /> Title <br /> Rel Rork Order I f/ / / 6 3/ 7 <br /> Problem Information <br /> Address <br /> Predirection Street Street Type Postdirection <br /> LC� ❑ F( o <br /> City I — 1 <br /> *If not "Everett"speck which Cie <br /> Structure[Equipment Information <br /> Struct/EquipType L041 Problem <br /> Struct/Equip No Naa Sub Problem <br /> Structure/Equipment type when applicable <br /> Feet —� Description F —� <br /> Comments <br /> Bold Type-Mandatory fields to be populated <br /> Italic - Optional fields <br /> FORAIS:WRKACTVYJ(CM 01/26/99) <br />