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CITY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #:—;i I SD <br />FDrate Initiated: �S _� 3 <br />I Initiated by: ti F "OoiES <br />Ext. <br />ject Title: _ CGSCaa1¢ 4AIS /D1474 <br />Dticriptlon of Project (Location, who, what, when, why): <br />CvunfJ/ PL�t SCrv¢d 6� Ci-fy GcJn�'r _a��c�,Jet�v� <br />Cross Reference: <br />Operating El Grant <br />Type of Project: ❑ Capital ❑ EmergencyLEEstimated <br />_ _ <br />❑ 50te <br />unding: ❑ Federal <br />❑ Local <br />S_ <br />f <br />s <br />Estimated ff // <br />Project Cost: /V� <br />pletlon Date: <br />Ch; Igeable to: ❑ Utilities ❑ Engineering ❑ Streets <br />❑ Other <br />Manager's Approval <br />Signature: <br />Date: <br />FOR FINANCE USE ONLY <br />Job Cost Number(s): I Casswcrks Number(s): <br />Verified JC it for Duplication ❑ <br />IC Entered by: <br />I Date: <br />Comments: <br />Finance Manager's <br />Signature: <br />Date: <br />S.I uimnin.Ifri 11111P%1,\ R"A(If. Jo- .N-I..0 <br />