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XService Request # 00133164 <br />Date Issued -- - -- <br />Issued By �� <br />'�I�Zitials <br />City of Everett Work Activity <br />Work Order Information <br />_ _ . _ _____..__� <br />WO# Assigned W �' �3 � �a.�/� � -.- <br />'�Full name <br />i, <br />�'� 611 <br />Fund -120- o'' ' Program 840 Function 108 ActiviTy - <br />*Job Cost No. <br />Title <br />��I _ �_�._._��..__ _ �. ��.. ; *PJ•oject No. �--------._.�.._..__._._:a.., <br />Sidewalk Replacement _ . I <br />'�Rel. WoNk Orde�• 20050387 <br />�� _ -----__.-_.---- <br />Address <br />Pre-direction Street <br />_ . <br />�1710 v �� � Lombard <br />XCity �---- �- -- - - <br />xIf not "E>>erett " spec � which City <br />Problem Information <br />Street Type Post-direction <br />_AVE � <br />Structure/Equipment Information <br />_. .. __ � <br />Struct/Equip Type <br />__ _I' Problem � <br />Struct/Equip No. - -- - ' Sub Problem � I <br />St�•ucture/Equipnzent type wl�en applicable <br />*Feet ��.,,�� �Descf�iption __ __ _ _ . -- <br />*Coinmerrts Bill to : Lucia Fisher _ <br />. . <br />1710 Lombard Ave. Everett, WA. 98201 '', <br />_ _ � ______. _ _ __ __ _. <br />Conc��ete : 3.5 cu. yd. @$98.50 per cu. yd. $344. 75'� <br />Bold 'Type =1Vlandatory fields to be populated <br />�Italic = Optiorr�al fields <br />