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Receipt H <br />xx <br />Contact Person <br />Requesled By <br />Pum is Wom s DOARTMENT <br />Utilities Division, 3200 Cedar Street <br />livered 1VA 98201 <br />125-257-8800 <br />Cost of %Vork Order <br />Dale Paid <br />1%'qk Order# <br />Cos[ of Service Order $4 CIE -� WED Order H 5�ZZ <br />Mark Rogge n phom• H 425-754-5423 <br />Kirk Brooks APR 14 20081,,,•, pt,111,1 04/09/2008 <br />Property Owner (name) Schmidt Investment GroQp,;;�;;"""•'•.................... <br />-0F—YEREiT <br />Charge Cost to (name if different than owner) Engineering/Public Services <br />Address PO Box 2555 City <br />Installation Location 4448 Rucker Avenue <br />Everett <br />Zip 98213 <br />Installation I1 pe/detin lglhoo/size/etc 4" fire service, DCDA in vault. Expose main in Rucker, install <br />_-Tapping sleeve and control valve. Make hot tap. Install DCDA in contractor provided, installed and <br />Piped through vault. Vault to be utilities #575 LA with 57TL-2-332P lid. Make final connection after <br />Purity. Contractor to expose, shore and restore. <br />❑ The following eslinmbo is h, sed upon the Utilities Division providing all labor, equipment, <br />materials, restoration, anal final hook-up. <br />Please nolif3 the City of Everett Utilities Division 10 workin> des in advance of required installation <br />dale to allow for scheduling, and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipnncnl rental and <br />adntinistralive costs, the deficit shall be charged lu the prupvrly for which such installation was made and the <br />owner thereof, and provided further, that any excess payment shall be returned In the person applying for the <br />inslallation. <br />`Deposil must be paid prior to ordering parts orscheduling work. <br />1VATER METERS 3" AND LARGER MAY 11A VE A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Dencfils <br />Equipment Rental <br />Tax <br />TOTAL <br />$2784.00 <br />1094.00 <br />408.00 <br />75.00 <br />$4361.00 <br />Prepared by: Gerry Crum 11me Eitintate PI'cpared <br />Accepled by: <br />S u'commmtlninliCOY e>tlt00iVCiSA15711SOD1 DOC <br />Representing <br />ESTIINATE GOOD FOR 6 MONTIIS <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witcher <br />John McClellan <br />Alatl Welborn <br />Benyam Slephanns <br />Gerry Crmn <br />Dennis Roberson <br />Cliff Lindman <br />Randv Allen <br />loft <br />