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City of Everett Work Activity <br /> Work Order Information <br /> ''�Service Request# J 00169574 WO#Assigned ' L�� � 2���, <br /> Date Issued � <br /> ---------- <br /> �-------------- __---- -- <br /> Issued By � <br /> Xlnitials XFull name <br /> ,---- --- -- , __------ ;--- -- <br /> Fund � 12� � 5� Program 840 Fnnction � 108 Activity ` 611 <br /> _ _ ---- --------— <br /> . ... ___ .. ___.—.----- ---- ---- � <br /> �---- <br /> �Job Cost No. ' -I - *Project No. <br /> ,----— -- - - -- <br /> Title � Sidewalk Replacement <br /> �`Rel. Work Order ! 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> ;-------------- �..__-- -- ------------- - -- - ------ <br /> � 1408 � t� Hoyt Ave �� <br /> ,--- ------ -------- - -- <br /> xCl� � <br /> "If not "Everett"spec�whicla City <br /> Structure/lEquipment Information <br /> Struct/Equip Type � Problem � <br /> Strnct/Equip No. � Sub Problem � <br /> Structure/Equipnaent type when applicable <br /> r-- -- i--- ----------------- -- --- <br /> "Feet ' '�Description <br /> "Conanzents � Bill to : Lar�y Wold, 1402 HoytAve <br /> � Everett Wa. 98201--- - ----- ---------- <br /> ' Concrete : 3.75 Yd(a��'98.50 per Yd�369.37 <br /> �old'�ype=Mandatory fields to be populated <br /> �`Italic = Optional fzelds <br />