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City of Everett Work Activity <br />"Service Request # 0`�'0�152154 <br />9 . . ____ __ <br />Date Issued �.__..._...___._.,�.,�: �_.___.._- <br />Issued By � <br />'`Initials <br />Fund 120 _ �, �5 ;, <br />�`Job Cost No. <br />Title <br />Work Order Information <br />WO# Assigned �� a � � � � � �� �-� <br />XFull nafne <br />Program 840- Function 108 ' Activity 611 ' <br />- - ---_ _ ---,.�. <br />_ - __ �I' _ 9 �, _ �__....._._. _ *P�°oject No. _�, _.�.__ <br />Sidewalk Replacement _ <br />�`Rel. Work Order �?0050387 <br />Address <br />Pre-direction Street <br />-__---------- - _ �-_.— <br />�2910 �' �' 23rd--- _ ' <br />� <br />X City _ <br />*If not "Everett" spec� which City <br />Problem Information <br />Street Type Post-direction <br />ST _ �� <br />Structure/Equipment Information <br />_ _ � ----------- <br />Struct/Equip Type - - Problem <br />Struct/Equip No. --- - � Sub Problem <br />Structure/Equipm�ent type when applicable <br />_ I <br />*Feet � � *Desc��iption _ _ _ _ _ _ _ --- -- � <br />�`Conamei�ts Bill to : Nicholas Peddicord ,'! <br />2910 23rd ST. Everett, WA. 98201 <br />Concrete : 4. � cu. yd. ��98. 50 per cu. yd. �443. 25 :% <br />_ _ _ __ __. __ __ � <br />�old 'Type =1Vlandatory �elds �o be populated <br />a`Italic = Optiorral fields <br />