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City of Everett Work Activity <br /> Work Order Information <br /> __ --- __------. . -- -- - - __- <br /> YService Request# � 00170310 � WO#Assigned �'�'�` 2� `�� <br /> Date Issued ! <br /> ,�----- -- -- --- --- <br /> Issued By � �� <br /> Ylnitials XFull name <br /> �- �—-- <br /> ! 120 j�5 I 840 � 108 � 611 <br /> Fund � Program Function � Activity ' <br /> - - I�----...----- ------ <br /> �__ -- <br /> - r-------- - - - - �� <br /> ~Job Cost No. -� - "Project No. U <br /> Title � �Sidewalk Replacement <br /> . - - _ ..�- - -- <br /> "Rel. Work Order "; Z0050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> , <br /> i _------- --- r- ---------- <br /> ------------- � � <br /> i 1426 j 35th St <br /> X City <br /> I xlf not "Everett"specify which City <br /> Structure/Equipment Information <br /> i - ------ ---- — ----- — —, <br /> Struct/Equip Type � Problem ' <br /> Struct/Equip No. � Sub Problem ! <br /> Structure/Equipment type when applicable <br /> ------_- - - - ------ <br /> "Feet ' "Descraption I' <br /> "Comments jl Bill to : Sharon Vanover-Wuerth, 3503 127th Ave, SE <br /> ; Snohomish Wa. 98290---- ---------- ---- ------ --- -- <br /> ; -—-- --------- -------- ------ - ----- ---- <br /> ; Concrete : 3.S yds (cr�,$98.50 per yd,$344.75 <br /> �olc� Ty�e=11�Iandatory fields to be popul�ted <br /> *Italic = Optional fields <br />