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8525 EVERGREEN WAY BURGER KING 2019-09-09
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8525 EVERGREEN WAY BURGER KING 2019-09-09
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Last modified
9/9/2019 1:07:21 PM
Creation date
9/9/2019 1:04:53 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
8525
Tenant Name
BURGER KING
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UkCtOS — 010 <br /> W: DEPARTMENT <br /> TME <br /> U�Civ n,3200 Cedar Street <br /> Everett WA. 9620 <br /> - O; r'3 0 SO <br /> Cost <br /> at Paid <br /> X Cost of Work Order $11 00. Work tomer# .. <br /> Cost of Service-Order Service Order <br /> Contact PeXSOIT Apthony Quintana Telephone# 253 .20.2.40X3 <br /> •Rcuestet By Thad Newport Date of Retp-test . 0 : <br /> t perty Owner(name) ..Antlltarly l Deborah G Quintana <br /> Charge Cost to(name if different than off),. . <br /> Address. � Federal Way:,,WA ZIP . 3 <br /> ,tom`�'�` . � . . ,. <br /> Installation Location 8526 Evergreen.'Way <br /> Inst; tion type/description./size/eta, Relocate fire hydrant appron.3'.ast and 4'north. <br /> Contraetor to excavate,._shorn and restore. <br /> The following estitateis based upon the Utilities Division providing alllabor,equipment, <br /> Materials,restoration,and final hooklyip. <br /> Please notify the City of Everett Utilities Division 10 Working days in advance of required ihtalla on <br /> date to allow for scheduling and parts procurernent <br /> Whenever the estimated cost is not sufficient to cover the total expense for labor,material,equipmentrental and <br /> administrative costs,the deficit shall be charged to the property for which such installation was made and the <br /> owner thereof,and provided further,that any a payment Abell be*nutted tn the person applying for the <br /> installation.. <br /> *Deposit must be paid prior to ordering parts or scheduling work. <br /> *Must ust have valid Public Works Perm beforework can be performed. <br /> WATER,METERS 4 'AND,LARGER MAY HAVE 4 S TO 0 INTEX 4EAp Tikg. <br /> Material »Qct cc: Bldg.Permit Center <br /> Mark Sadler <br /> Labor and Benefits $4.75.0O MattWelborn <br /> Randy Allen <br /> Equipment Rental 570.E PanthicKee <br /> Tax $50.00 Jim Spooner <br /> Sabrina Radler <br /> Restoration dna Stephartos <br /> TOTAL $1148.0.0 Grant Moen <br /> Prepared by. .l m Date Estimate prepared 5.4312019 <br /> Accepted by: <br /> Representing <br /> ,ESTIMAT. cop])FOR MONTIIS <br /> smerattilixikciericanoanzawiwis25 eveixreea ww,FRCEPP54$ <br /> loft. <br />
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