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CITY OF EVERETf PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICAT[ON W.O. #: ,�� SD <br />Date Initiatea: 7��c—� 3 initiated by: ��, �,�r00�S �� �S�s <br />Project Title: C�s �ad� {/� ��! �s P�4 � <br />Description of ProjeCt (Location, who, what, when, why): <br />C�vui��fy %�L4f- Serve� 6� Ci-fy GcJa��r �hc� fe.t�v' <br />02� .i/nJcLc' �l-n. �� Gri�S <br />Cross Reference: <br />❑ Stace 5 <br />❑ Operating ❑ Gran[ • <br />Type of Project: � Capital ❑ Emergency Funding: � Federal 5 <br />� ❑ Local 5 <br />cstimated ,� /� Estimated <br />Project Cost: � � Completion Date: <br />Chargeable to: ❑ Utilities ❑ Engineerina ❑ Streets ❑ Other <br />Manager's Approval Date: <br />Signature: <br />FOR FINANCE USE ONLY <br />.ob Cost Number(s): � Casswcrks Number(s): <br />� <br />L i <br />� <br />� <br />, <br />� <br />Verified JC � for Duplica �on ❑ � JC Entered by: � Date: <br />Comments: <br />Finance hianaqer's <br />j Date: <br />ISigna[ure: I <br />o _�.m.,�n.-ci...�.nft`.M1^aPr..N1164.:.. �_. �,� <br />