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CITY OF EVERETT PUBLIC WORKS DEPO RTMENT <br />WORK ORDER APPLICATION W.O. #: l SD <br />I �ate initiated: �� JC' —� 3 ! initiated by: �h ,� Bj��p�S � Ext: ���s- __ <br />� PrOj?[t Ttl2: CGSC4<% i7'� cl TS �LG / -- <br />�I Cescription of Project (locaticn, who, what, when, why): <br />: Cvcinfy �L4f ,Se.-vec� !�� �i�fy /,�.ln%'r q.�C� fC�t,r'�„ <br />' vi/ .SinSLc' ��+�, f� LCf-S <br />Coss Reference: <br />❑ Opere6ng <br />�: i�ype of Projed: � Capital <br />Estimated �� <br />aroject Cost: <br />C',argeable to ❑ Utili[ies <br />ra��nager's Approval <br />S,anature: _ <br />❑ Gran[ ❑ Sta[e <br />Funding: ❑ federal <br />❑ Emergenc/ <br />I ❑ Local <br />Estlmated <br />Comple[ion Date: <br />❑ Engineering ❑ Stree[s <br />S <br />S <br />❑ Other <br />Date: <br />� <br />— 1 <br />e <br />_ FOR FINAN�:E USE ONLY ,' <br />]ob Cost Numher(s): Casswcrks Number(5): <br />� <br />� <br />.r�fied JC +� for Dup6cation ❑ JC Entered by: <br />• imenLS: <br />�nce Manaaer; <br />�r.., <br />Date: <br />Date: <br />