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PUBLIC WORKS DF.PARTMaIT <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />425-257-8800 <br />Receipt # _ Z0Z_ 1 (2- <br />X Cost of Work Order 2364.00 <br />Cost of Service Order <br />Contact Person Jeff Norris <br />Requested By Gordon Witcher <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 <br />9610 19t' Ave SE <br />City <br />Kirkland <br />Date Paid <br />Work Order# : 6/�7_,U5( <br />Service Order # <br />Telephone # 425-485-2266 <br />Date of Request 10/29/12 <br />Zip 98033 <br />Installation type/description/size/etc. 8" x 12" tap, contractor to excavate, shore and restore. <br />❑ The 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 warts 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 VVEEK LEAD 77ME. <br />Material 1413.00 <br />Labor and Benefits 610.00 <br />Equipment Rental 300.00 <br />Tax 41.00 <br />TOTAL 2364.00 <br />Prepared by: Mike Ward �,jf Date Estimate Prepared <br />Accepted by: ! Representing <br />ESTIMATE GOOD FOR 6 MONTHS <br />S:WCommWcicri callCcs(.es d2012\ <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Gordon Witcher <br />Matt Welborn <br />Mike Ward <br />Randy Allen <br />11/2112 <br />101 <br />0@__" <br />