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C1TY OF EVERETT PUBLIC WORKS DEPARTMENT <br />WORK ORDER APPLICATION W.O. #: � l SD <br />I Date Iniciated: ���' —� 3 I Initiated by• �,, f BrV��S � Ext ,�ff�s- <br />� vrojectTitle: CGS�2d� {�c��l,�S /�L47` _ -- _ _ <br />I DeSCnption of F�ject (Loca[ion, who, wha[, when, why): <br />Cvunf�/ PLat ,Se�we� 6/ C�.�fy GcJn��.� a��c�.l'e�vr�^ <br />�� s,,,s<<• �„�,'fy L��fs <br />Cross Reference: <br />❑ Operating ❑ Grant ❑ State <br />iype of Praject: � Funding: [� Federel <br />[ Capital L Emergency I <br />❑ local <br />, _ _ _-------------- I � - — <br />E;Uma[ed �� I Estimated <br />Prcject Cos[: I Completlon Date: <br />='iargeable to: ❑ Utilities ❑ Engineerina ❑ Stree[s <br />��?anager's Approval <br />S�qnature: <br />Jab Cost Number(s): <br />.:�nfed JC a For Dupli�a[ion ❑ <br />mments: <br />�,ance Manager's <br />c�nature: <br />FOR FINANCE USE ONLY <br />, )C Entered by: <br />S_ <br />❑ Other <br />Date: <br />Casswcrks Number(5): <br />Date: <br />L C��A <br />