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CITY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #: _a I�O <br />' Ext: <br />Date Initiated: � 3 Initia[ed by: �,, ,� ,� �'OO.ES ���5 <br />� -- - �–=—'�C--� <br />� Prc;ectTide: C�GSl4c�� i�'����� PLG7� <br />�_ <br />I�'I L'esr.ription of Project (Loca6on, who, what, when, why): <br />Cou n fy Pl4 f.S�v, �� J G� C; ��{y GJn f� r a�� c� ,1'en,� r^ <br />a/ s,,,,<i �,�„ fy C� fs <br />C�o�s Re'erence: <br />[i Operating ❑ Grant Fundmg <br />Type o( Project: � �apital ❑ Emergenc/ <br />Fstimated --- — M� --- <br />I Projed Cost: <br />Cl,argeable to: ❑ Utilities <br />G+�nager's Aoproval <br />9gnature: __ __ <br />Job Cost Number(s): <br />. � fed JC � for Duphcation ❑ <br />��vren[s: <br />� ,,�nce Manager's <br />.:r,ature: <br />❑ Engi�eering <br />❑ S:ate <br />❑ Fede�al <br />❑ LOC21 <br />Estimated <br />Completion Date: <br />❑ Streets <br />FOR FINANCE USE ONLY <br />)C Entered by: <br />❑ Other <br />� Date: <br />Cassvcrks Number(5): <br />Date: <br />iCate: <br />_�I <br />