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City of Everett Work Activity <br /> Work Order Information <br /> *Service Request# 00177626 WO#Assigned I <br /> -- <br /> Date Issued <br /> Issued By <br /> *Initials *Full name <br /> 120 840 108 611 <br /> Fund Program Function Activity <br /> *Job Cost No. I -I -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 /> 16211 I Sycamore I p1 <br /> *City I <br /> *If not "Everett"sped 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 /> I Bill to : Geoffrey Thomas*Comments <br /> A6211 Sycamore Pl. Everett, WA. 98201 <br /> I125'X 5'X 4" = 7.75 cu., yds. <br /> IConcrete : 7.75 cu.yds. (a, $104.50 per cu. yd. = $817.63 <br /> Bold Type=Mandatory fields to be populated <br /> *Italic = Optional fields <br />