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Receipt 4 <br />X <br />PUBLIC WORKS DEPARTMENT <br />44UT Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />425-257-880( <br />Cost of Work Order <br />Cost of Service Order <br />Contact Person Jeff Norris <br />Requested By Gordon Witcher <br />01211-00T <br />Date Paid d C Z <br />Work Orde7# <br />320.00 Service Order ft ') 0 i CsE <br />Property Owner (name) Investment Development Corp <br />Charge Cost to (name if different than owner) <br />Address 5729 Lakeview Dr NE #200 <br />Installation Location qWa 4610-19 h Ave SE <br />City <br />Kirkland <br />Telephone 4 <br />425485-2266 <br />Date of Request 10129/12 <br />"Lip 98033 <br />Installation type/description/size/etc. Replace meter on contractor installed fire service DCDA. <br />❑ The following estimate is based upon the Utihties Division providing all labor, equipment, <br />materials, restoration, and final hook-up. <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 payment 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 METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />Prepared by: <br />Accepted by <br />198.00 <br />102.00 <br />15.00 <br />5.00 <br />320.00 <br />P4ikg Ward `'l'l Date Estimate Prepared <br />kT Representing <br />F.sTIMATE GOOD FOR 6 MONTHS <br />S:\k Common\elericaRCost es iLI012\ <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Gordon Witcher <br />Matt Welborn <br />Mike Ward <br />Randy Allen <br />11/2112 <br />l ofl <br />