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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# F6016642 WO#Assigned <br /> Date Issued <br /> Issued By <br /> *Initials *Full nanre <br /> Fund 120 � 5 Program 840 Function 108 Activity 611 <br /> *Job Cost No. I *Project No. F— <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 _ <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 1102 r� Rucker AveL <br /> *City <br /> *If not "Everett"specify which City <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem <br /> Struct/Equip No. Sub Problem <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments Bill to ; Ferol Betz III <br /> 1102 Rucker Ave Everett Wa 98201 <br /> Concrete : 68 Cubic Yds (cb,$98.50 per yd= $669.81 <br /> Bald Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />