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City of Everett Work Activity <br /> Work Order Information <br /> Lv k 77 <br /> 001588 3 r 3 <br /> *Service Request# �55 �' WO#Assigned <br /> Date Issued (- _ <br /> Issued By <br /> *Initials *F'ull nante <br /> Fund 120 Program 840 Function 108 Activity 611 <br /> – - - - -— -- <br /> *Job Cost No. --_-- - - *Project,,-. <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 2312 21st ST <br /> -- -— <br /> *City - <br /> *If not "Everett"specify which City <br /> 1 j <br /> } Structure/Equipment Information <br /> ' Struct/E ui T --_- _..... .__, Problem - <br /> q P Type <br /> Struet/Equip No. I Sub Problem 9 <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments Bill to : Mark Johnson <br /> 2312 21st St. Everett, WA. 98201 <br /> Concrete : 3.5 cu.yd. P,,$98.50 per cu.yd. $344.75 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />