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City of Everett Work Activity <br />- - _�._ <br />"Service Request # 00113451 � <br />� ' __ <br />Date Issued - - - - - - ' <br />Issued By � --- <br />i *Initials <br />Fund 120 ._- -' � 5 ' <br />*.Iob Cost ATo. <br />Title <br />Work Order Information <br />a . ___.__—_„� <br />WO# Assigned � � � � Z � � �' <br />*Full itanze <br />Program 840- - Fuuction 108 Activity 611 ' <br />:�. _ ... --- _.,..�..- ..__ ...�._. <br />�� _ � _ _ _ _ ��--- -� � *P��oject No. �f <br />Sidewalk Replacement <br />*Rel. Work Order 20050387 . ._. � �-----i�'' <br />Address <br />Pre-direction Street <br />- - - -. .. ...,,, <br />2305L----�---__—__.-' �' Pine �_ �—.__, _._ <br />��� --�----.____ <br />%City - <br />�If»ot "Everett" spec� which Ciry <br />Problem Information <br />Street Type Post-direction <br />_ St _ ' � <br />Structure/Equipment Information <br />Struct/E ui T e ^ -' i Problem �' <br />9 P YA <br />Struct/Equip No. -- ' Sub Problem - 1' <br />Structui�e/Equipr�ient type whe�7 applicable <br />*Feet �� "Descriptiofz _ _ _ - - _. . _.__ _ __ <br />�`Co�n»zents Bill to : David & Do��inda Carlson <br />895 Riverside Dr. Apt. C-239, Wenatchee, WA. 98801 � <br />Concrete : 3 cu. yd. (a� $998.50 per cu. yd. $295.50 <br />__ __ <br />Bold Type =1l�Iandatory iaelds to be populated <br />��Italic = Optional fields <br />