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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00084671 WO#Assigned i 2-0 l L 1 1 S <br /> Date Issued <br /> Issued By <br /> � nitials *Full name <br /> Fund .1 120 Program 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 /> 2009 Rucker AVE <br /> *City <br /> *If not `Everett"speck which City <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem i <br /> Struct/Equip No. Sub Problem 3 <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments Bill to :Danny Loevenich <br /> 2009 Rucker Ave. Everett WA. 98201 <br /> Concrete : S yards(a, $98.50 per yard. $492.50 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />