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City of Everett Work Activity <br /> Work Order Information <br /> �00167644 WO#Assi ned �I �C���� Z�� <br /> XService Request# g <br /> �-- ----___ ----- _.. <br /> Date Issued <br /> --___ - <br /> ----- - ----------- <br /> � <br /> Issued By <br /> xlnitials XFull name <br /> �I(�120 � � 840--- I 108---- � 611 <br /> Fund u L Program Function Activiiy <br /> - - - -- _. - _ �- ----------- -------- -- -- �---- - <br /> ---- -�- ----- <br /> I � <br /> �'Job Cost No. !�� -� - *P�•oject No. ' <br /> Title u Sidewalk Replacement <br /> "Rel. Work Order � 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> - - ---_ _-- <br /> -— -- <br /> j._�__'.___.. _.-_'.'____� __'. r . -_ <br /> � 17Z2 � j Rucker Ave <br /> xC�� �----- - <br /> Xlf not "Everett"spec�which City <br /> Structnre/Equipment Information <br /> _.._..._..__�_ -.---- <br /> ;----_..--..._ __------------- ------. ._. � <br /> Struct/Equip Type ' Problem ' <br /> --- _------ ----- <br /> _ ___._ __ .---- ---- --- <br /> �-- --- � <br /> Struct/Eqnip No. Sub Problem � <br /> Structure/Equapnzent type when applicable <br /> r------- �� --- - ------ <br /> �Feet ' �`Description <br /> ,----____---------------------- <br /> '�`Comnaents � Bill to : Elsie Scharf, 1722 Rucker Ave ____ _ <br /> i ------ --- ---- -------- -- - - -- -- - <br /> ' Everett Wa 98201 <br /> � Concrete : 6 Yds (a�$98.50 Per Yd�591.00 <br /> Bold Type=1Vdandatory fields to be popula�ed <br /> "Italic = Optional fields <br />