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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# i 00165480 WON Assigned <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 120 5 Program 1, 840 Function 108 Activity 611 <br /> *Job Cost No. - - *Project No. <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 2517 Pine Ave. <br /> *City <br /> *If not "Everett"speck which City <br /> Structure/Equipment Information <br /> - _ a <br /> Struct/Equip Type Problem <br /> Struct/Equip No. Sub Problem <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments Bill to : Janice Schouse <br /> 13911 Pu,-,et Sound Blvd. Edmonds WA 98026 <br /> Concrete : 3 yards P,, $98.50 per yard. $295.50 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />