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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00154663 WO#Assigned <br /> Date Issued <br /> Issued By i <br /> *Initials *Full nan:e <br /> Fund 120 a 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 /> - F_ If Summit Ave <br /> 2601 <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 : Evergreen Recovery Center <br /> 2601 Summit Ave. Everett, WA. 98201 (Attn. Bruce Soule) <br /> Concrete : 18.5 cu.yd. @$'98.50 per cu. yd. $1822.25 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />