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CI'TY OF EVERETT PUBLIC WORKS DEPART;+IENT <br />WORK ORDER APP� ICATION W.O. #: .� I SD <br />Date Initiated: � 2.Jr'—� 3 � Initiated by: ��, ��roc�s I FXr: gB�S <br />ProjectTitle: CGSCac�� �/c��ti�s P�4� <br />Description of Project (Location, who, what, when, why): <br />�Uc�r�fy PL�cf- S'crv¢� G� Ci�y' Gcl4�i:r u�iC� fC'�l,�v' <br />�/ s; �,S [ a� �,., ��f y Go fs <br />Cross Reference: <br />❑ Operating <br />Type of Project: � Capltal <br />Estimated �� <br />Project Cost: <br />Chargeable to: ❑ UCilities <br />Manager's Approval <br />Signature: <br />Job Cost Number(s): <br />Verifie,i JC � for Duplication ❑ <br />Comments: <br />Finance Manaqer's <br />Signa[ure: <br />t =f�«.^.:n.:n_.IFUNV�'�ANKpR1l1�5er. .��-. <br />❑ Grant <br />❑ Emergency <br />❑ statz <br />Funding: � Federai <br />❑ Local <br />Estimated <br />Completion Date: <br />❑ Engineering ❑ Streets <br />FOR FINANCE USc ONLY <br />JC Entered by: <br />❑ Other <br />Date: <br />Casswcrks Number(s): <br />� Date: <br />Date: <br />