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� � City of Everett Work Activity <br /> Work Order Information <br /> _.. - -- ----- ------- <br /> � 00166839 --- ,�.�� � �.-;�, � s <br /> "Service Request# � WO#Assigned ` 4` ``,�' <br /> � ----- - - ---- <br /> Date Issued ' <br /> Issued By <br /> Xlnitials XFull�aame <br /> � � � � � <br /> 120 5 r 840 � 108 �611 <br /> Fund Program Function Activity <br /> � ----- . -- --- ------ -.. ._----- * - — ---—----__ <br /> � - --- - <br /> Job Cost Na -� -I Project No. <br /> Title Sidewalk Replacement <br /> "Rel. Wo�k OrdeN � 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-d'rrection <br /> -- — — —----- — <br /> i 2311 � ��th ST <br /> ���� I <br /> "If not "Everett"spec�which City <br /> Strncture/Equipnnent Information <br /> ----- -------------------- — `-- ---- <br /> Struct/Equip Type Probleira � <br /> Struct/Equip No. Sub Problem ' <br /> Structure/Equipf�aent type when applicable <br /> �--------- - �----- <br /> -- ------ ----__--- <br /> "Feet � *Description ' <br /> --- ---- —----- -- -----------._...--------------— -- <br /> '�Comnaents � Bill to : Jeffe�y Michaels <br /> ----- --- ----------- <br /> �--- — <br /> j 2311 19th ST Everett WA 98201 <br /> ------ ---- ----------- -----.._ -— ___— --- <br /> � Concrete : 0.89 Cubic Yds (a),�98.50 per Yd= $87.67 <br /> �old Type=IO�Iamdatory fi�ids to be populated <br /> "Italic = Optional fields <br />