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City of Everett Work Activity <br /> Work Order Information <br /> � �, .. ...........��,��„ <br /> *Service Request# 00169585 WO#Assigned 20�$ t��3 <br /> � � _ <br /> Date Issued __ <br /> Issued By _ <br /> *Initials XFull name <br /> Fund 120 i '' Program 840 Function 108 Activity 611 <br /> *Job Cost Na � -B � - � *Project Na <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 2013 � Grand AVE <br /> *City <br /> *If not "Everett"spec�which City <br /> Structure/Equipment Information <br /> Struct/E ui T e Problem � <br /> 9 A YP <br /> Struct/Equip No. Sub Problem � _ <br /> StNucture/Equipment type when applicable <br /> *Feet ...,.. *Description __ _ _ _ . <br /> *Comments Bill to .• Kay Paine _ _ _ _ <br /> 2013 Grand Ave. Everett, WA. 98201 <br /> Concrete : .75 cu.yd. (c�$98.50 per cu.yd. $73.87 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />