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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00109322 WO#Assigned I 2-1)1 1�O iO t <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 1120 1-5— <br /> Program 840 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 /> 2920 I Rockefeller 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 <br /> Structure/Equipment type when applicable <br /> *Feet I *Description <br /> *Comments Bill to : Eric Watt, (Bill's Blueprint) <br /> 2920 Rockefeller Ave. Everett, WA. 98201 <br /> IConcrete : 16 cu. yd. (a, $87.50 per cu. yd. $1,404.00 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />