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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# !. . 00163770 WO#Assigned - ��� i 2 3$ <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> 120 J 5 840 108 611 <br /> Fund Program Function Activity <br /> *Job Cost No. - - *Project No. <br /> — ------------ --- - ---- <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 3518 Hoyt Ave. �— <br /> *City <br /> IF <br /> *If not "Everett"sped which City <br /> Structure/Equipment Information <br /> Struct/Equip Type - -- Problem - <br /> Struct/Equip No. -----._.._.._._. __ _ _ _ Sub Problem u <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments Bill to : Tom Stiger <br /> PO Box, 811 Everett, WA. 98206 <br /> Concrete . 1.5 cu. yd. @$98.S0 per cu.yd. _ $147.7 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />