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CITY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WOP.K OR.DER APf%LICATION W.O. #: � I SD <br />Date Initiated: ��✓c' -0 3 I Initiated by: �ti ,� �rCo�S I�� �Sls <br />Project Title: CGS Czc�� {�� ��ti {s P�4 T _ <br />Description of Project (Location, wFo, what, when, why): <br />L�vu n fy �L4 t � c., ve � 6� C� �y GcJ2 �e,-� � h e� �1'e-v� v� <br />a� s;.,s�r ��„�{y C�fs <br />Crass Reference: <br />❑ Operating <br />Type of Project: � �apital <br />Estimated g /� <br />Projec[ Cost: ��� <br />Chargeable to: ❑ Ltilitie_ <br />hlanager's Approval <br />Signature: <br />Job Cost Numher(s): <br />❑ Gran[ ❑ Sta[e <br />Funding: � FEderal <br />❑ Emergency <br />❑ I.ocal <br />I� Estimated <br />Completion Date: <br />❑ Engine=_ring ❑ Streetr <br />FOR FINANCE USc 0�'LY <br />Verified JC � for Duplication ❑ �I JC Entered by: <br />Comments: <br />Finance P�lanager's <br />Signa[ure: <br />..i .�.. .�..a ��.�, °n�`.11 lANAp0.111 4 at� ii.J' I i, i <br />❑ Other <br />Date: <br />Casswcrks Number(s): <br />DatF: <br />Date: <br />� <br />