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C?TY OF EVERETT PUBLIC WORKS DEPARTMENT <br />W ORK ORDER APPLICATION W.O. #. _� I SO <br />Date Initiated: � �✓C —v 3 ; Initiated by: �j!,ti ,(- ,�j�00�S Ext: �9�5— _—� <br />PrcjeceTitle: CGsc4<% {/c���S /��47� <br />� Description of FrojeCt (Location, who, what, when, why): <br />I Caunfy f�La�' .Sc�.-vrd G� C��fy Gcln��r c,�c�,.I�.ve�^ <br />' �/ S,.,Scc �,,,, fy L� t-s _. <br />Cruss Reference: <br />----�-------❑ Operating --�-- � Grant I ❑ State S <br />Tvpe of ProjeR: Funding: � Federel 5 <br />❑ Capdal ❑ Emcrgency <br />❑ Local s <br />Es[imated r /� <br />Praje•t Cost: �u <br />C,ar�eable to: ❑ U[Ilities <br />ht�nager'S Approval <br />��ynat�re: <br />Job Cost Number(s): <br />r-- <br />'Jerified JC � for Duplication ❑ <br />Comments: <br />F�nance Manaaer s <br />. �ar.;r�= <br />IEstlmated <br />Completion Date: <br />❑ Engineering ❑ Stree[s <br />FOR FINANCE USE ONLY <br />I ]C Entered by: <br />❑ Other <br />I Date: <br />Casswcrks Number(s): <br />Date: <br />Date: <br />