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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00176081 2p ((� � <br /> Q WO#Assigned <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 120 r-5- <br /> 5 Program I 840 Function I 108 Activity 611 <br /> *Job Cost No. � -1 -1 *Project Na <br /> Title <br /> Sidewalk Replacement <br /> *Rel. Work Order ( 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 11416 I I Rockefeller J ave <br /> *City <br /> *If not "Everett"sped which City <br /> Structure/Equipment Information <br /> Struct/Equip Type I Problem <br /> Struct/Equip No. I Sub Problem I <br /> Structure/Equipment type when applicable <br /> *Feet I *Description <br /> *Comments I Bill to : Mathew Lemmons 1416 Rockefeller ave. Everett, Wa 98201 <br /> IRemove and replace sidewalk 68'X 6'X 4"& 9.5'X 4'X 4" = 5.5 cu yds <br /> Concrete : 5.5 cu yds @ $104.50 per yd= $574.75 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />