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City of Everett Work Activity <br />_._ . _..._. <br />"Service Reqccest # 00049494 � <br />_ _.. .. _ _ .. .- � <br />_. _ <br />Date Issued <br />Issued By <br />*bzitials <br />Fund � 120 �5 <br />*.Iob Cost No. <br />Title <br />Work Order Infonnation <br />�_. . . _ <br />WO# Assigned � � � � � �� / <br />� <br />XFull ��ame <br />- -- -- . __ _ _ _ . <br />Program 840 Function 108 Activity 611 <br />�-` - <br />� ----___ _ _�. . _ -- - --- <br />I ---__. __- _ _ � _ ---- _ � *Project No. <br />Sidewalk Replacement <br />_.. _ �,-... <br />*Rel. Work Order 20050387 <br />Address <br />Pre-direction Street <br />--- — _--- - ---- - - - - - --- - -- -- - - <br />� 1717 � � Lombard <br />rClly <br />"If not "Everett " spec� wl�icl� Ciry <br />Problem Information <br />Street Type Post-direction <br />Ave. � <br />Structure/Equipment Information <br />Struct/Equip Type Problem <br />_.. - - . _ .. __ _ . - - -- � -- -- -.--_ _ <br />Struct/Equip No. ' Sub Problem � <br />Structure/Equipment type when applicable <br />.. . -- -- -- <br />*Feet ��lrv� *Desc�°iption <br />*Conin�ents � Bill to : Brian Maione ' <br />1717 Loi�zbard Ave. Everett, WA. 98201 � <br />Goncrete : 3. 75 cu. yd. cr, 5'98. SO pe��. cu. yd. �'369.37 <br />Bold Type = Mandatory fields to be populated <br />�`Italic = Optio��al fields <br />