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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00176996 WO#Assigned Z®L 2123 <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> Fund 120 Program 840 Function 108 Activity 611 <br /> *Job Cost No. -1 -p *Project No. <br /> Title Sidewalk Replacement <br /> - <br /> *Rel. Work Order 20050387 <br /> Problem Information <br /> Address Pre-direction Street Street Type Post-direction <br /> 1021 104th pl se <br /> *City <br /> *If not "Everett"sped which City <br /> Structure/Equipment Information <br /> Struct/Equip Type Problem <br /> Struct/Equip No. Sub Problem I <br /> Structure/Equipment type when applicable <br /> *Feet *Description <br /> *Comments <br /> Bill to : Tim Moriarty (a, 1021 104th PL SE Everett wa 98201 <br /> 12'X5'X4" = .75 cu yds <br /> Concrete : .75 cu yds A $104.50 per cu yd= $78.37 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />