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City of Everett Work Activity <br /> Work Order Information <br /> Service Request a F— —� WON Assigned b eJ <br /> Date Issued q G N 9 4 <br /> Issued By �� GrsRY ALIc_ .v <br /> 4 Initials Full name " <br /> Fund L/p/ 5E Program •7/p Function //3 Activity �fs <br /> Job Cost No L�J Project No. <br /> Title TPA.✓fFG/C Tv HeA/ /NA/✓ <br /> Rel Work Order /g9 9 D •1(/ <br /> Problem Information <br /> Address Predirection Street Street Type Postdirection <br /> S/_S ❑ Ze S7 SE <br /> City -� <br /> •Ifnot "Everett"spee6(ywhich City* <br /> Structure/Equipmcut Information <br /> Struct/Equip Type lf/�SR Problem <br /> Struct/Equip No wS O g-Y 0 Sub Problem <br /> Structure/Equipment type when applicable <br /> Feet Dercriplion <br /> Comments r /� ro HGhl le Xi.l <br /> L <br /> Bold Type-Mandatory flelds to be populated <br /> Italic-Optional fields <br /> FORMS:W R&ACTVYJ(CM 01126/99) <br />