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'�Service Request # � 00138502 <br />Date Issued <br />Issued By �___..-----..�.-- <br />Xlnitials <br />Fund 120 � 5 <br />*Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Infoimation <br />W O# Assigned I Z � � � � � � � <br />- - -- ------------ --.. �_____..__--__. - <br />�� <br />*Full �7anze <br />_... <br />------- - - - - _ _ , _ _ _ <br />Program 840 Function 108 Activity ; 611 <br />--- - _ .. <br />._ _ _ __ <br />�`� -`�''� _ � - ;�— <br />0 ,_._, � _..._._ �___ _ � *P�•oject No. <br />Sidewalk Replacement <br />*Rel. WoNk Order 20050387 <br />Address <br />Pre-direction Street <br />_. ._ ._ _ __ ._.,.._...__ _ _.,,�,, <br />�� 2405 �� LOMBARD <br />*City <br />"If not "Eve��ett" spec� which Cily <br />Problem Information <br />Street Type Post-direction <br />AVE_..._ I <br />Structure/Equipment Information <br />Struct/Equip Type Problem � ^ � � <br />Struct/Equip No. Sub Problem <br />Sh�uctu�•e/Equipmerat type wher� applicable <br />*Feet � *Description <br />*Com�i�zents Bill to : Staci Mccole ' <br />2902 13tIz ST Everett, ��a. 98201 d <br />Concrete : 2 cu. yd. �a, �98.�0 per cu. yd. �196.00 <br />Bold Type = Mandatory fields to be populated <br />�kltalic = Optional frelds <br />