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City of Everett Work Activity <br /> Work Order Information <br /> Service Request# WON Assigned 1g9010c2k <br /> Date Issued <br /> Issued By <br /> Initials Full name <br /> Fund [rip 1 Program Function p y Activity 7� <br /> Job Cost No Project No. <br /> TitleLQAr2 mqr <br /> —y <br /> Rel Bork Order <br /> Problem Information <br /> Address Predirection Street Street Type Postdirection <br /> ❑ 0 <br /> City <br /> 01f not "Everett"specify which City' <br /> Structure/Equipment Information <br /> Struct/Equip Type S LS Problem S A-14J <br /> StructlEquip No Gl y- a Sub Problem fiJ4 r / <br /> .StructurclEquipment type when applicable <br /> Feet Description 1 <br /> Comments <br /> Bold Type- Mandatory fields to be populated <br /> Italic - Optional fields. <br /> FOILNS WR ACfVYI(CM 01126199) <br />