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City of Everett Work Activity <br /> Work Order Information <br /> Servier Regaat M WOx Assigned 99 4 <br /> Date batted <br /> Issued By � hJ Styr <br /> Initials Full name <br /> Fund . (p ( Program L_!1J Function ® Activity 6 '7 <br /> Job Cost No Project No. <br /> Title C�2A,sS �s►t T �rrre7 .sta.,a <br /> Rel Work Order 3� <br /> Problem Information <br /> Address Predirection Street Street Type Postdirection <br /> 3i� nfB v7 s 5Z <br /> city <br /> 'If not "Everett"spec fy which City* <br /> Structure/Equipment Information <br /> Struct/Equip Type t,JA Problem <br /> Struct/Equip No O p/.a- Sub Problem <br /> Structure/Equipment qpe when applicable <br /> F -et Description <br /> Comments -r409 A--"�v� ?a .J6-&2 /&1,09 r1J <br /> Bold Type-Mandatory fields to be populated <br /> Italic = Optional fields <br /> FORMS.WRKACTVYJ(CM 01/26/99) <br />