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Receipt # 202 I I <br />X Cost of Work Order <br />Cost of Service Order <br />Contact Person Jeff Norris <br />Requested By Gordon Witcher <br />PUBLIC WORKS DEPARTMENT <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />425-257-8800 <br />refelSawilm <br />K;E IM( <br />Property Owner (name) Investment Development Corp <br />Charge Cost to (name if different than owner) <br />Address 5729 Lakeview Dr NE #200 City <br />Installation Location 9610 19th Ave SE <br />Kirkland <br />Date Paid <br />Work Order# e'7U /' 12�5 <br />c-- <br />Service Order # <br />Telephone # 425-486-2266 <br />Date of Request 10/29/12 <br />Zip 98033 <br />Installation type/description/size/etc. Cut in an 8" x 6"cross into existing 6" main to connect a <br />contractor installed 8" main, Contractor to excavate, shore and restore. <br />❑ T1ie following estimate is based upon the Utilities 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 NIAYHAVE A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />2709.00 <br />814.00 <br />200.00 <br />65.00 <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Gordon Witcher <br />Matt Welborn <br />Mike Ward <br />Randy Allen <br />TOTAL /3/78/8.00 <br />Prepared by: Mike Ward �/� Gt/ Date Estimate Prepared 1112112 <br />Accepted by: Representing <br />F,STMIATE GOOD FOR 6 MONTHS <br />S AgCommonkl ericallCostestU012% <br />