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City of Everett '1fUUork Activity <br /> Work Order Information <br /> *Service Regnest# 00164694 W0#1 Assigned ` <br /> Date Issued <br /> Issued By I <br /> Initials *Full name <br /> Fund 120 1 5 Program 'F840 Function 1 108 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 /> 2502 1 Chestnut FSt <br /> *City <br /> 1*If not "Everett"speck which City <br /> Structure/Equipment Information <br /> Struct/Equip Type I Problem <br /> Struct/Equip No. F Sub Problem <br /> Siructure/Equipment type when applicable <br /> *Feet *Description 1 <br /> *Comments Bill to Alai?Henderson <br /> 2502 Chestnut St Everett Wa 98201 <br /> Concrete : 11 Cubic Yds (a,$98.50 per yd = $1083.50 0$90.29,for 12 months. <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />