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''`Service Request # 00152263 <br />Date Issued <br />� <br />Issued By <br />Xinitrals <br />Fund 120 � 5 <br />*Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Infonnation <br />WO# Assigned � � � � �' Z 1 � � <br />XFull naine <br />- __ ____ _ __ .. . _ - -- ._.._. <br />Program 840 Function 108 Activity 611 <br />�- `-��-�� - �`` ---- __.__.._... _. __ .. . - - - -- _ _.. _. .. _------ - <br />I � _ V ' - ��-� *Project No. �- <br />Sidewalk Replacement <br />;_ -- - ---_---------._. - --- .__ _ _�. __._. <br />*Rel. Work Ordei� �20050387 <br />Address <br />Pre-di►•ection Street <br />__ - -- ---- . _ _ . _ _ �_ <br />2405 � � Grand <br />xCity <br />"If not "Eve�°ett" spec� ���Izich City <br />Problem Information <br />Street Type Post-direction <br />,.._ _.. __ _ <br />Ave. <br />Structure/Equipment Information <br />� ---_ . ___...�- � <br />Stract/Equip Type � Problem <br />Struct/Equip No. Sub Problem <br />Sh�ucture/Equipnzent type tivhen applicable <br />— -------,- _ _ _.,---- - _ __ __ __ _ .._. . - - -____.. <br />*Feet � �Description �� <br />- -- - -. . _ _ _... _. . _ _ . <br />*Con�ments Bill to : Don & Nancy Valkenberg � <br />_ _ -- -- _ .. _ ... <br />395 Wisconsin Ave. Long Beacl�, WA. 90814 <br />Cof�c��ete : 14.25 cu. yc1. cr, ,�98.�0 pef• czr. yd. $1403.62 <br />�old Type =1Vl�ndatoiy fields to be populated <br />"Italic = Optional fields <br />