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CITY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #: -� � SD <br />Date Initiated: "7 2C—Q 3 I Initiated hy: ��, �,�j�00�t' I�� c�S�s _. <br />ProjectTitle: CGSC2c�e: {/ei�ti�S P�47� _ <br />Description of Pro;`ct (location, who, what, when, why): <br />C'vunff% /�L�cf- Sc-'rve� G� C/T!/ Gtif7 ' 4�'ic✓ �I'eti�v� <br />i - <br />a/ �;,,s�z ��,.,�'�y G�ts <br />Cross R�ference: <br />❑ Operating <br />Type of Project: � Capital <br />Estimated �� <br />Projed Cost: <br />Chargeable to: ❑ Utilitie:� <br />Manager's Approval <br />Job Cost Number(s): <br />V�rified ]C = for Duplicanon ❑ <br />Comments: <br />Finance ^lanager's <br />Signature: <br />. :lv�^'n`.n.iic,i:ll�tl�•.1��\1NA1)0.111�i_�_ „N_li� 1 <br />❑ Grent ❑ State <br />Funding: � Federal <br />❑ Emergency <br />I ❑ Locai <br />� Estimated <br />ICompletion Date: <br />❑ Engineering ❑ Streets <br />FOR FINANC"c USE ONLY <br />JC Entered by: <br />5 <br />❑ Other <br />Date: <br />Casswcrks Number(s): <br />Da[e: <br />Date: <br />. ■ <br />