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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00175256 WO#Assigned <br /> 204$ lb6fa <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> 120 5 840 108 611 <br /> Fund Program Function Activity <br /> *Job Cost No. _ - *Project No. I <br /> Title <br /> Sidewalk Replacement <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 2122 Walnut St <br /> *City Everett <br /> *If not "Everett"spec]which City <br /> Structure/Equipment Information <br /> Struct/Equip Type I Problem I <br /> Struct/Equip No. I Sub Problem <br /> Structure/Equipment type when applicable <br /> *Feet I *Description I <br /> *Comments Bill to Valorie Copeland <br /> 2122 Walnut St Everett, Wa 98201 <br /> Concrete : 2yds concrete (a, $104.50 per yd= $209.00 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />