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City of Everett 1Nork Activity <br /> Work Order Information <br /> ----- --- — --._--__ <br /> ���--------- , <br /> XService Request.# J 00168608 WO#Assigned � � `` `�2 � V� <br /> �- - --�_-.� <br /> � <br /> Date Issued { <br /> U � - - --- ----- -- <br /> ,--- -- ---- <br /> Issued Sy <br /> Xl'nitzals xFull name <br /> � 120 --- � � 840 1 108 ----- 67.�— <br /> Fnnd Program Function Activity <br /> _.__.______._ ._ -- - � _- --- � -------- <br /> �------ <br /> �`Job Cost No. -� -� *Project No. � <br /> Title � Sidewalk Replacement <br /> �R�l. Work Order � 20050387--------- ----- <br /> Problem Information <br /> Address Pre-direction Street Sfreet Type Post-direction <br /> , _ - -- _.. ---�- --- -- - ----- -- ---- r--- <br /> - --- .. <br /> ! 3110 � i 25th St <br /> ---------- ----------.. <br /> Yez�, I <br /> Ylf not "Everett"spec�which City <br /> Straacture/Equipment Information <br /> r..-"..._'_ __. -___- _-_ ;___'.'_.�__ -_- <br /> Struct/Equip Type ' Problem _ <br /> _-- ------- --- __._ <br /> Struct/Equip Ii�a � <br /> Sub I'roblem f----- -- <br /> Structure/Equipment type when applicable <br /> ;-- ------ �----------_ __------------_ -� <br /> � <br /> '�Feet � '�Description <br /> f ___�_---------------- - __-------------_ -- ____.------------___ <br /> "Comnaents I Bill to : April Garrett, 3110 25th St <br /> - �----- --- -___ _ -----___-------------- <br /> � Everett WA. 98201 <br /> �-- ---------------_ __ _ <br /> ' Concrete : 2.5 yd(a),$98.50 per Yd. $246.25 <br /> �old Type=1�andatory�'ield�to be populat�d <br /> �`Italic = Optional fields <br />