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PUBLIC I�bRKS DFPART�f[\TT <br />Utilities Divisiun, 3200 Cedar 5Vret <br />' - Everett 1VA 98201 <br />•1�5-2�7-SS00 <br />Receipt k _ <br />x <br />Contatl Person <br />P.equested Dy <br />Cosl of INork Order <br />Cost of Service Order <br />Gordon Witcher <br />Propert�� O�vner (name) Everett <br />Charge Cost to (nam� if ditferent than o�. nei) <br />Co LLC <br />Uate Paid <br />lYork Orderit _ <br />Service Order K <br />Telephone N <br />Date of Request _ <br />Address 2200 6`" Ave Cin� Seattle Zip 98121 <br />Insmllation Locauon 2931 W Marine View Dr, Hamoton Inn <br />insiallation type/description/size/etc. 6" on 8" tap, and conneet to contractor installed pipe. <br />DCDA in building_Contractor to excavate and restore. <br />❑ The (olloiving estima!e is based upon tlie Utilities Division providing all labor, equipment, <br />m�terials, mstoraHon, and final hook-up. <br />Please notify the City of Iiverett Utilities Di��ision 70 n�orkinl; davs �n advance of required installatinn <br />date to allow for schedulinp and parts procurement <br />ll�henever the eslimated mst is not sufficient ro cuver the total espensr (or laUor, material, equipment rental and <br />administrativc costs, Uie deficit shall be charged to the properly for which such installation was made and the <br />owner thereof, anJ provided frrlher, thal any excess payment shall bc relurned to the person appl}'�nF for Ihc <br />insWllation. <br />*Deposit must be paid prior to ordering parts or scheduling work. <br />WA'I'EIZ 114E'1'I;PS 3" ANU LARGEP. /I�yAY FIAVF A SIX TO 10 INCEK 1 EAI) �17�1�1E. <br />\latcrial <br />Labor and Licnctits <br />I:quipment Rental <br />Tax <br />TOTAI. <br />Prepnred by: <br />rlccepted by: <br />_ s�as�. <br />814. <br />550. <br />50. <br />52901. _ <br />Mike Wa�d Date Estimatc Pocparcd <br />Representine <br />}:S7'111A'i'E C:OOD FOR 6 �ION'S'HS <br />S V+Common\clericaPCost.cs��20i2\ <br />cc 131dF. Permit t ��ntrr <br />�i�,��: s,ai�� <br />G��rdon 11�it� h��r <br />�tatt lVelbom <br />n-i�k�� �v,,T�i <br />Randy Allcn <br />Paul `1cKcr <br />12-6-13 <br />n <br />