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CITY OF EVER'cTT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #: � I SCi _ <br />I <br />I Date Initiated: ��C> -� 3 I iNtia[ed by: ��ti ,� ��-Up�s � Ext: �8�5 <br />� - — -- <br />� Prajed Tit�e: . CGSC4�� {�� i.4�i�S ��4 f <br />I <br />i <br />I� . i n who what when wh : <br />I Description of Project (Locat o, , , , Y) <br />Cuun-fy PL-�t •Sev^ve� fi� G�fy Gc/'nf�'r anc� �-"•vz�^ <br />�/ s,,,S<<• �4�r,'fy Lrfs <br />Cross Reference: <br />� ❑ OperaUng <br />Type of Project: � Capdai <br />� Estimated �/� <br />Proje[t CC�t: <br />='iargeable to: ❑ Utilities <br />r•lanager's Approval <br />5�gnature: <br />]ob Cost Number(s): <br />❑ Grent ' ❑ Sta[e <br />I F•�nding: � federel <br />❑ Emergency <br />�� ❑ Local <br />--------Estimated ------ <br />! Completion Date: <br />❑ Engineering ❑ Streets <br />FOR FINANCE USE ONLY <br />. enfied ]C � for Dupllcation ❑ ]C Entered by: <br />;mmen[s: <br />..,,,,ce Manager's ----- --- --- — — <br />,:I�'fP: <br />5_ <br />❑ Other <br />IDate: <br />Casswcrks Number(s): <br />Date: <br />Cdi?: <br />