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City of Everett Work Activity <br /> Work Order Information <br /> "Service Request# 00155166 WO#Assigned ,'C 2 <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 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 /> 1721 Oakes Ave. <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/Equipinent type when applicable <br /> *Feet *Description <br /> *Continents Bill to : Robert& Claudia Poor <br /> 1721 Oakes Ave. Everett, WA. 98201 <br /> Concrete : 3.75 cu. yd. (a,$98.50 per cu. yd. $369.67 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />