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City of Everett Work Activity <br /> Work Order Information % <br /> Service Request N WON Assigned d v <br /> Date Issued <br /> Issued By 0"-/1 Y /�!!e ✓ <br /> Initials Full name P <br /> Fund L/p/ Program 7io Function Activity 67S r' <br /> Job Cost No - - Pro,'ect No. <br /> Title <br /> Rel Work Order <br /> Problem Information <br /> Address Predirection Street Street Type Postdirection <br /> ern S7 SE <br /> city <br /> *If not "Everett"specify which City• <br /> Structure/Equipment Information <br /> StrucUEquip Type S Problem <br /> Struct/Equip Nolv SPS 7 Sub Problem <br /> Structure/F-quipment type when applicable <br /> Feet Description <br /> Comments 'jam__/_ fjQ,4ir 1pl� <br /> Bold Type-Mandatory fields to be populated <br /> Italic - Optional fields <br /> FORMS:WRRACP/YJ(CM 01126199) <br />