3331 92ND PL SE 2018-01-02 MF Import

CITY OF EVERETT PUBLIC WORKS DEPARTMENT WORK ORDER APPLICATION W.O. #: 80 Date Initiated: -7 25 -0 3 Initiated by: h Br�O�FS I Project Title: CGS [ode >y� �S A,q 7' — Description of Project (Location, who, what, when, why): Cou,, JX PCat Scrv¢S 6I C/fy C(Jn fV.- 4h C- JC-MC t^ .2/ Sir7_51P /c..,.. fJ C0a<S Cross Reference: -- — ❑ Operating ❑ Grant Type of Project; ❑ Capital ❑Emergency ❑ State S Funding: ❑ Federal s--- ❑ Local $— Estimated �� Project Cost: Estimated Completion Date: Chargeable to: ❑ Utilities ❑ Engineering ❑ Streets ❑ Other Manager's Approval Date: Signature: FOR FINANCE USE ONLY Job Cost Number(s): I Casswcrks Number(s): I Verified JC # for Duplication ❑ JC Entered by: Date: Comments: Finance Manager's Date: Signature: