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Receipt Y _ <br />X <br />Contact Person <br />Requcsted By <br />PUBLIC IVOF.l'S DEPARi\1LMT <br />Utilities Division, 3200 Cedar Strcet <br />Everettll'A 98201 <br />�12�-257-8600 <br />Cost of 1Vork Order <br />Cost of Scrvice Order <br />Gordon Witcher <br />9067.00 <br />Datc Paid <br />INork Ordcr� <br />Service Order � <br />Tclephone � <br />L`ate of Requcst <br />Propert}� O��•ner (name) Everett Hospitality Co LLC <br />Charge Cost lo (name i( dif(erent tlian owner) <br />Address 2200 6�" Ave Cit� Seattle "Lip 98121 <br />Instaliation 1_oc,tion 2931 W Marine View Dr; Hampton Inn <br />Inswllatio» tt�pe/description/sn.e/etc _ 4 incn tap and connection to contrector installed service _ <br />line. Cut in 4 inch meter in contractor installed vault. <br />❑ The following estimate is basrd upun the Utilities Division pro��iding all labor, equipment, <br />materials, restoration, and f�nal !iook-up. <br />I'lease notify the City of C•.vcrett Utilities Division 10 �vorking_days in adt�ance of required installation <br />datc to allow for scheduline and parts procurcmcnt <br />Whenever lhe estimated co;t is not suf(icient tc :uver lhe lolal espense for lahor, material, equipment rental and <br />adminislralive cosls, lhe deficil shall be chugeJ lo Uie property for whidi such installation �,�as made and the <br />owner thercof, and providcA h�rther, that any escess payment shall be rch�rned to thc percon applying (or thc <br />installation. <br />"Deposil musl bc paid prior lo ordcring parts or schcduling work. <br />WATEI: �14ETERS 3" AND LARGI:R II�IAY HAVE A SIX 7'O 10 WF.I:K LEAD T'1�19E. <br />ni:�����,i <br />I ahorand Benefils <br />Lquipment Rental <br />7'as <br />7'07'A I . <br />Prepared by: <br />Acccptcd by: <br />Mike Ward <br />$5520. <br />2q �1. <br />950. <br />156. <br />$9067_ __— <br />Datc Lstimatc 1'rcpared <br />Keprescnting <br />F.STN1Al'If GC)(lD FnR fi �70N7'HS <br />��c Bld�; Pcrmit Crnt�•r <br />n�.��k s:,�ii��� <br />(;ordon \\`Ilchrr <br />11att IVclb��rn <br />P�tSke lV'ard <br />Ran�h' :111��n <br />Paul McKcr <br />12-6-13 <br />S VaCommon':IcnoiCCo�t csl`�01'� - � <br />. � U�f � I of 1 <br />