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CITY UF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK OR�ER APPLICATION <br />W.O, #• �� �SD <br />� Da[e Ini[iated: �� JC -v 3 ( initiated by: � h,� arJ�7FS I Ext: ���s <br />' — -- — — — <br />I GrojectTi~le: CGSC4d� c� !�S /�L47� _ — <br />� - — -- <br />� CesCription of Proje[t (Location, who, what, when, why); <br />� C'cun-/j/ PL4f Sc.-���;� G� Ci�-ff, GcJn�•.� a�d ���^ <br />a: s,,s<<- �,ti, �y L���-S - <br />C os; Re'erence: <br />-- - -- ---- -- -- ------ — <br />❑ OpereGng ❑ Grant I ❑ SWte <br />Tyf•e of Project: Funding: � Federel <br />❑ Capitai ❑ Emergenc� <br />❑ Local <br />[�.timated � , Estimated <br />Project Cost: �' � Cumple[ion Da[e: <br />'�ar,eable to: ❑ UGlities ❑ Enyineering ❑ Streets <br />r��;mager's Approval <br />S�unature: <br />)ob Cost Number(s): <br />FOR FINANCE USE ONLY <br />� <br />i <br />Verified JC x for Duplication ❑ ]C Entered by: <br />i:ommenLS: <br />- -- - - - -- — _ <br />Finance Manaqer's <br />_ ,^� �� t. r.: <br />❑ Other <br />Dace: <br />Casswcrks Number(sj: <br />, Date: <br />� Date: <br />