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CITY OF EVERETT PUBUC WORKS DEPARTMENT <br />WORK ORDER APpLICATION W.O. #: .� I SD <br />oate �nitiated: j��c—U 3 I Initiated by: �ti ,� ,Broa,Fs I E'�� �S/s' <br />ProjectTitle: C�SC4c% {����ti�s P�<� <br />Description of Project (Location, who, what, when, why): <br />Cvunfy %�L4�` Scrve� 6� Ci-{y Lc%2�er ahe��.l'e.v��^ <br />a� s,Ns�z ��,; �y ���s <br />Cross P.eference: <br />❑ Operating <br />Type of Projed: � Capital <br />Estimated �� <br />Prcjed Cost: <br />Chargeable to: ❑ Utilities <br />Manager's Approval <br />S�gnature: <br />Job Cost Number(s): <br />Verified JC = for Duplication �j <br />Comments: <br />Finance Manaaer's <br />Signa[ure: <br />-.,.m.n..��..._v.1�)u�J���eVlOPJPd..., .._...,i <br />❑ Grant <br />❑ E:nergency <br />❑ State <br />Funding: ❑ Federal <br />❑ Local <br />Estimated <br />Completion Date: <br />❑ Engineering ❑ Streets <br />FOR FINANCE USE ON! Y <br />I JC Entered by: <br />❑ Other <br />Da[e: <br />Casswcrks Number(s): <br />j Date: <br />Date: <br />