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CITY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #:3_I SD <br />Date Initiated: 25 -p 3 <br />Initiated by:, F B/ pO�S <br />Ext: 88�s <br />Project Title: CGs tade: & f4A{S <br />Description of Project (Location, who, what, when, why): <br />cou'7 PLa/t SCrv¢ /d //6� Ci fy GcJa r _anC✓ <br />gl SfhGf!t' T4 /'Nt f/ CG�TS <br />Cross Reference: <br />❑ Operating ❑ Grant <br />Type of Project: <br />[I Capital ❑Emergency <br />❑ State $ <br />Funding: El Federal $ <br />❑ Local $ <br />Estimated �� <br />Project Cost: <br />Estimated <br />Completion Date: <br />Chargeable to: ❑ Utilities ❑ Engineering ❑ Streets ❑ Other <br />Manager's Approval <br />Signature: <br />Date: <br />FOR FINANCE USE ONLY <br />Job Cost Number(s): <br />I Casswcrks Number(s): <br />' I <br />Verified IC S for Duplication ❑ JC Entered by: <br />Date: <br />Comments: <br />Finance Manager's Date: <br />Signature: <br />l.... m .M.vft)R%IS'%%RK0AprR Jua 1": u' <br />