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"Service Request # 00155671 <br />Date Issued <br />Issued By ��____.__.__..�.---..�.. <br />*Initials <br />Fund 120 � 5 <br />�Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Information <br />WO# Assigned � C�� L 1��� <br />XFull �zame <br />_--. - -- �-. .._ <br />Program 840 Function 108 Activity 611 <br />_ - �`� - -- `- �- - - � - -- -- - --- --� -. _ -- -- — - - - - .._ _ <br />- _ I _ �_-i - *Project No. � _ _ <br />Sidewalk Replacement <br />�TReI. i�ork O�°de�• 20050387 � � <br />Address <br />Pre-direction Street <br />-- - - - - --- - - <br />� 2117 ------- � M a p I s--- _. <br />- -- -- --- - --�=--> <br />*City � _--- — <br />''`If not "Evei°ett" spec� which City <br />Problem Information <br />Street Type Post-direction <br />ST ��� <br />Structure/Equipment Information <br />- - -- - --. _ ._- - -- <br />Struct/Equip Type Problem <br />-- - -- -- - — - — - -.._ . -- - � <br />Struct/Equip No. Sub Problem <br />Structure/Equipment type ��he�2 applicable <br />*Feet � *Desc��iption <br />"Cor��a�zef7ts Bill to : Mike LeBil�a�z <br />2117 Maple ST. Everett, WA. 98201 �; <br />Concrete : 4. 75 cu. yd. @�'98.50 per cu. yd. $384.75 <br />Bold Type = Mandatory fields to be populated <br />xltalic = Optio��al frelds <br />