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City of Everett Work Activity <br /> Work Order Information <br /> "Service Request# WO#Assigned 20Jg-2122 <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 120 Program 840Trn Function 108 Activity 611 <br /> *Job Cost No. - - *Project No. <br /> Title Sidewalk Replacement <br /> 1 <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 3415 Norton Ave <br /> *Cio Everett <br /> *If not "Everett"speck which City <br /> Structure/Equipment Information <br /> rnrnrn <br /> Struct/Equip Type Problem I <br /> Struct/Equip No. Sub Problem _ <br /> Structure/Equipment type when applicable <br /> *Feet - -- *Description <br /> *Comments Bill to : Layle Willey <br /> 3415 Norton Ave Everett, WA 98201 <br /> Concrete : 4.25 yds A $104.50 per yd= $444.12 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />