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City of Everett Work Activity <br /> Work Order Information <br /> Service Request k E- WON Assigned /47479 f <br /> Date Issued 9 <br /> Issued By =TD6rJ �'i4 <br /> Initials Full name <br /> Fund ❑5 Program 5 Fdncaon (( P Activity <br /> Job Cost No —� - ❑❑ -❑ Project No. <br /> Title •�{�+,os>�s�e ray .e�z� .yrs„J <br /> Rel Work Order I `t ct .3 7 <br /> Problem Information <br /> Address Predirection Street Street Type Posidirection <br /> E3:-29 ❑ e /- C se <br /> City r — <br /> ':`nor "Everett”sped which City* <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem <br /> E= <br /> Struct/Equip No Ij s a l J] Sub Problem <br /> StructurelEquipment type when applicable <br /> Feet Description <br /> Comments <br /> Bold Type-Mandatory fields to be populated <br /> Italic a Optional fields <br /> FORMS:WRKAC'TVYJ(CM 01126/99) <br />