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xService Request # 00153039 <br />Date Issued <br />Issued By <br />Xbtitials <br />Fund ' 120 �5 <br />*Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Infoi-�nation <br />WO# Assigned � ` � � �'� � <br />_ .._ __ ----- __..... _�_�__� __� <br />� <br />XFull �za»ze <br />_ _ __ _---- --- -- - - <br />- - -- --.. <br />Program 840 Function 108 Activity <br />611 <br />,�,a, - __ _ <br />- . __.. ., <br />�__ ._�..... _ I�_ _ �. .� *Project No. ��,��,� ". <br />J <br />- --_____ ___ ___ _ ___ _ _.__ _.. __. . _..._.. <br />� Sidewalk Replacement <br />-- _. __._._._ ._ _- -- - -- <br />'�`Rel. Work Orde�• 20050387 <br />Address <br />Pre-direction Street <br />. _ _ _ _ _ _ _ ._: <br />�� 2403 � Lombard <br />,- - - --- <br />. _,�.._._�, <br />*City � <br />"If not. "Everett" specify ��hich� City <br />Problem Information <br />Street Type Post-direction <br />Ave. �m�_��� <br />Structure/Equipment Information <br />� _. _ _. _.. __.,� _... _. - <br />� — —� _. _. <br />Struct/Equip Type Problem <br />Struct/Equip No. Sub Problem <br />Structuf•e/Equi�»�ent type wlzen applicable <br />_ � - ---___�,`.__ = ---� -- <br />-- - — -----_----_______. <br />*Feet � *Description � <br />*Comnients Bill to : Gheorglze Ciot _ <br />_ _ _. _ _._... ..... ,�.,�. <br />--- --- - --- __ _ . <br />2403 Loinbard Ave. Everett, WA. 98201 �/' <br />Concrete : 7.7.5 cu. yd. ��98.50 per cu. yd. �763.37 @�'100.00 per Month <br />�old Type =ldiandatory ffaelds to be populated <br />°Italic = O�tio�aal frelds <br />