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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00176596 WO#Assigned 241E167-3 <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 1120 1-5 Program 1840 Function 1108 Activity 1611 <br /> *Job Cost No. l -I - *Project No. <br /> Title I Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 11424 I I Rockefeller I ave <br /> *City <br /> *If not "Everett"sped which City <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem <br /> I <br /> Struct/Equip No. I Sub Problem <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments I Bill to : Randall Hultman 626 Wetmore ave Everett 98201 <br /> I Replace sidewalk 50'X 6'X 4'=3.5 cu yds <br /> I Concrete : 3.5 cu yds @ $98.50 per cu yd= $344.50 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />