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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00174882 WO#Assigned I ZO°Z l to b 5_ <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 120 Program 1840 Function 108 Activity 611 <br /> *Job Cost No. - - *Project No. <br /> Title Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 2123 ra— Harrison Ave <br /> *City Everett <br /> *If not "Everett"speck which City <br /> Structure/Equipment Information <br /> Struct/Equip Type I Problem <br /> Struct/Equip No. I Sub Problem <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments I Bill to : Gus Hosin/Evolve Consultants LLC <br /> I 1621 186th St Shoreline, Wa 98115 <br /> IConcrete : 2.25yds cincrete A $98.50 per yd = $221.62 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />