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City of Everett Work Activity <br /> Work Order Information <br /> YService Re uest# J 00159573 � -- <br /> q ____ _ WO#Assigned � � �` �`� 2�� <br /> Date Issued <br /> r��-- ------- <br /> Issued By J �----- -- ---- -- ---- -- <br /> Xlnitials xFull name <br /> �__--- - - �—. <br /> ' 120 � ,�108 �' <br /> Fund � 5 Program � 840 Function � Activity 611 <br /> *Job Cost No. --- ------- _ — --- _� �------- �Project No. �-- -- --— <br /> ;------- --_--------------------.__- -------�— <br /> Title { Sidewalk Replacement <br /> �--- - ------- - -- - <br /> *Rel. YYork Order ' 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> - <br /> ----- ------ ,__..._ <br /> ------ <br /> - f ---- ------------- ---__ <br /> � 1402 � I Hoyt ^Ave �� <br /> r------ ------- - ------ <br /> X�j� � <br /> 4 <br /> "If not "Everett"spec�which City <br /> Structure/Equipment Information <br /> - _. -------_--�----------- <br /> Struct/Equip Type ! Problem � <br /> ,..._-----_ ___--- ---------_ <br /> � -- ----- <br /> Strnct/Equip No. ! Sub Problem � <br /> St�ucture/Equipment type when applicable <br /> '�`Feet �- ; - ------ --— -- <br /> '•`Description ' <br /> *Conzments � Bill to :Larry Wold, 1402 HoytAve <br /> ------------- <br /> � -------., --- _ --- <br /> i Everett WA. 98201 <br /> j^Concrete � 9.75 Yd nu,$98.50 per Yd$960.37 <br /> Sold Tyg��=1Vlandatory fields to be populated <br /> "Italic = Optional fields <br />