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PuB <br />hies c WORKS D00 Cedar <br />St <br />4L Utilities Division, 3200 Cedar Street <br />Everett IVA 98201 <br />425-257-8800 <br />Receipt # <br />Cost of Work Order <br />Cost of Service Order <br />Contact Person /%I/u A26-AsE <br />Requested By <br />properly Owner (name) 4eW141D7- .1�VES%uFjf/% U�490 <br />Date paid <br />Work Order# <br />Service Order # <br />Telephone# yls• ?Sy •:YZ� <br />Date of Request y'�j-OB <br />Charge Cost to (name if different than owner) <br />Address fP'dye zsrc City fir/ // 1,(//4 'Lip 1rBZ�3 <br />Installation Location ao,j <br />lnstallation type/description/size/etc .W140"M <br />irr/urif-S'L.%�LA�ri7r/ S�TL-Z-33ZF Gi.�, ifiA/Ct L�i�1Z /�.G1f.,EGTIotJ /-�!?d <br />The following estimate is based uporf the <br />materials. restoration, and final hook-up. <br />labor, equipment, <br />Please notify the City of Everett Utilities Division 10 working days in advance of required installation <br />date to allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental 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 excess p. ymenl shall be returned to the person applying for the <br />installation. <br />`Deposit must be paid prior to ordering parts or scheduling work. <br />WATER AIE7TRS 3" AND LARGER A1AY NAVF. A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />ZletplOO <br />yam, oa <br />UO <br />VZA/. 00 <br />Prepared by: /J//y��J Date Estitttatc Prepared <br />Accepted by: <br />s vcvemmk�aKd�Cua Wvcrs��srx� noc <br />Representing <br />ESTIMATE COOD FOR 6 MONTHS <br />cc: Bldg. Nnnit Center <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witcher <br />Robert Waddle <br />Matt Welbom <br />Benyam Slephanos <br />Gerry Crum <br />Dennis Roberson <br />Cliff 1_indman <br />Randy Allen <br />—/ of, <br />