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City of Everett Work Activity <br />Wor•k Order I�ifoi7nation <br />�. �.._----� ------_ ��. ,. - — m.,�- _ <br />� 00143875 •g �(�.1 C.�.1.,? j <br />XService Rec�uest # ------ - WO# Assi ned - <br />I _—_ . _' <br />Date Issued - - <br />_ -- ._ _ __ - <br />Issued By � <br />*Initials *Full �im�ze <br />120 �i � 5�, 840 108 611 <br />Fund Program Function Activity <br />�`Job Cost No. <br />Title <br />- - - - _-_ . -- - —�- -_____._-- ____ <br />' *Pi�oject No. � <br />Sidewalk Replacement <br />_ __._ . <br />_.....--- <br />*Rel. Work O�°de�� 20050387 ' <br />Address <br />2132 <br />Pre-direction Street <br />I. ---- - — _ _ __ .- - --._ __ .�.. <br />Rockefeller <br />'�City <br />"If r2ot "Everelt" spec� 11�h�ich City <br />Struct/Equip Type - -- <br />_.._ _- - <br />Struct/Equip No. _ _ '' <br />St�°ucture/Equipn�ent ty�e when applicable <br />Problem Information <br />Street Type Post-direction <br />Ave. �.���_�.__ <br />5tructure/Equipment Information <br />Problem <br />Sub P�•oblem <br />•�` -- -- - ---- --- ----- - <br />! <br />� .�....�:��. <br />_ ._.._ _ _ _ � _ .. _. <br />*Feet �.._� *Description _ . . _ . _ _ _ _ � <br />'�`Con�ments Bill to : A�zthony Diaz <br />. .. � - ---- <br />2132 Rockefeller Ave. Everett WA. 98201 ' <br />-- __ _.._ _... . ._....,.. _____ _.... <br />Conc��ete :3 CU. YD. @$98.50 per CU. YD. $295.50 ', <br />Bold Ty�e = Mandatoiy fields to be populated <br />*Italic = Optional fields <br />