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Receipt # _ <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 />Date Paid <br />3788.00 Work OrGer# <br />Property Owner (name) Investment Development Corp <br />Charge Cost to (name if different that owner) <br />Service Order # <br />Telephone # 425-485-2266 <br />Date of Request 10/29/12 <br />Address 5729 Lakeview Dr NE #200 City Kirkland Lip 98033 <br />Installation Location 9610 19`" Ave SE <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 io 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 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 hTEK LEAD TIME. <br />Materiai <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />Prepared by: <br />Accepted by: <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 />/3788.00 <br />Mike Ward � &_ Date Estimate Prepared 1112112 <br />S.WCommon\clrc icaRCost.csiV 012\ <br />Representing <br />ESTIMATE GOOD FOR 6 MONTHS <br />04 <br />1 of <br />