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"Service Request # 00152301 <br />Date Issued <br />; - - - <br />Issued By �` <br />Xl�zitials <br />Fund 120 � � <br />��Job Cost No. <br />Title <br />City of Everett Work Activity <br />Work Order Information <br />-- -:— _�.�. <br />WO# Assigned � � � � � � � � <br />�._ .._ <br />__.._ _ � _. __ . _.. _--_. _ . _.______ . -- ----- <br />XFul1 �zume <br />__---- - - -- --- . _ ._ . _ <br />Program � 840 Function 108 ActiviTy 611 <br />_ __ . _ _ ._ _ _ _ __s ,. . ._ .. __.. .. __ _ .. _ �. _ _ . _ .— --.---_ ._- ---_ <br />- � ` Y - *Project No. <br />Sidewalk Replacement <br />_ .. _ . . <br />*Rel. Work Order 20050387 <br />Address <br />Pre-direction Street <br />-- <br />_ , _ . �:.__.... .__._._. _ _..� <br />2119 Ma ple <br />X City � <br />"If �7ot "E>>e�•ett" specify wl�iclz City <br />Problem Information <br />Street Type Post-direction <br />_ <br />ST ' <br />Structure/Equipment Information <br />Struct/Equip Type Problem <br />Struct/Equip No. ' ' Sub Problem <br />Structu��e/Equipment type when applicable <br />-- ---- --- - - .. _ .._ _ _ _. <br />*Feet �� *Desci•iption <br />*Co»zfnefzts Bill to : Candace iralentine <br />2119 Maple ST. Everett, WA. 98201 <br />Conc��ete : 3. 75 cu. yd. (a� $98.50 per cu. yd. $369.37 <br />Bold Type = Mandatory fields to be populated <br />'�`Italic = O�tional fields <br />