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xService Request # 00050712 <br />Date Issued <br />Issued By �---- .�-- <br />xlnitials <br />Fuud 120 �5 <br />*Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Information <br />WO# Assigned � � � � � Z � � � � <br />*Full na»ze <br />P►•ogram 840 Function 108 Activity 611 <br />--- -- -- - - -_ _ � _. _._. _ _ _ -- - -- -- _ _ ___. _. .. <br />- �_ � <br />*P��oject No. <br />-- -- -- __._..._ _ ---- _ ... _ __ . __ .. ._. .- - ---.._ _ ._ . __._. . <br />Sidewalk Replacement <br />--- _. _ . _._�.___ __ _ �___m. _ <br />*Rel. Wo�-k Order 20050387 <br />Address <br />�_ � _ -- _ ____. __. __.._ <br />� 1701 <br />Pre-direction Street <br />_ . _ _. .. _ . . _ ,, <br />� Lombard <br />xCity <br />� _ _ _ _. <br />"If i�ot "Everett" specify wh�ich CiZy <br />Problem Information <br />Street Type Post-direction <br />Ave. �.>.�,.,.� <br />Structure/Equipment Information <br />.. _ _ _. _. . _ _ _. .. _.. . _— <br />Struct/Equip Type Problem � <br />_ . --- --- .. _.._- -- _ ----- ----..__. . . _ ---- <br />Struct/Equip No. Sub Problem � <br />Stf�ucture/Eqafip�r�ent type w7�ej2 applicable <br />----__.___ ___ - ___ - --_..... _ _ -- -... __.... <br />*Feet � �'A ^ *Desci�iption <br />*Co»zmerlts Bill to : Laura Stalder/Miclzael Sanderson <br />1701 Lombai�d Ave. Evef�ett, WA. 98201 � <br />f <br />Concrete : 9 cu. yd. @�'98.5 pe�� cu. yd. �886.50 <br />�old Type = Mandatory iie�ds to be populated <br />*Italic = Optional fields <br />