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City af Everett Work Activity <br />*Service Request # _ 00152153 <br />_ <br />Date Issued �----------__v Q.----�--_._.--_.._. <br />Issued Sy �� <br />*L�itials <br />Fund 120 � <br />�Job Cost A�o. <br />Title <br />Work Order Information <br />WO# Assigned �� d�W� �,� L� ^� <br />XFull �zar�ze <br />Program 840 Function 108 Activity 611 <br />_ . _- � -- _ .._ 9 - - --- ---- � <br />���� _ � ----- — _ � -- - --- <br />*P�•oject No. <br />Sidewalk Replacement <br />- -------- <br />*Rel. Wof�k O�•def� �0050387 � <br />Address <br />2601 ' <br />9 -�-- _ <br />Pre-direction Street <br />� Maple -_ ._._— _..._ ._�_ <br />_ . _ _ ___._.__..__. <br />Yc�ry �� __ __. �� __-- - <br />"If f�ot "Everett" spec� which City <br />Problem Information <br />Street Type Post-direction <br />Structure/Equipment Information <br />--- ___ __ ___�._,.,.,�. _ _.. ...��. �.�-_.�.• . ___ ____�____ <br />Struct/Equip Type �'� � Problem <br />Struct/Equip No. - Sub Problem <br />Structuf�e/Equipnzent type w1�en applicable <br />_ _ _. . _ . _ - -- <br />*Feet � '��_ *Descriptioiz - I <br />. ... .. _ _ .. <br />*Co�nnaefats �_"ill to : Williana Dearmii�, 5422 81st ST NE Marysvrlle, WA. 98270 � <br />(seco��d address) 13339 E 49th ST Yz�ma, AZ. 85367 <br />Concrete : 3.5 cu. yd. rr, $98. 50 pe�� cu. yd. .$344. 75 <br />�old Type =1Vlandatory iie�ds to be populated <br />'�Italic = Optional fields <br />