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, • <br /> E V E R E T T PUBLIC WORKS REQUEST <br /> III WASHINGTON FOR WATER DEPARTMENT COST ESTIMATE <br /> (ATTACH 1 WATER PLAN FOR REFERENCE) Date Request Sent: 7/22/2019 <br /> Associated Permit#: PW1805-015 <br /> PROJECT ADDRESS: 8417 EVERGREEN WAY <br /> DESCRIPTION OF WORK: CONST OF A NEW COMMERCIAL MULTI USE BUILDING <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: CFT NV DEVELOPMENTS LLC , NAME: MCILVAIN MARK <br /> ADDRESS: 1683 WALNUT GROVE AVE ADDRESS: <br /> ROSEMEAD,CA,91770 <br /> PHONE: PHONE: 9164511500 <br /> EMAIL: s\Ai!/*V EMAIL: <br /> EMAIL: BRADM@MCOGC.COM <br /> CONTRACTOR: <br /> NAME: MCO&ASSOCIATES LLC CONTACT: 0 Owner, I -Applicant, ❑Other <br /> ADDRESS: 1509 W WHISPERING WIND DR,STE NAME: MCILVAIN MARK <br /> 100 PHONE: 9164511500 <br /> PHOENIX,AZ,85085 EMAIL: <br /> PHONE: 6234353200 <br /> REQUEST FROM PUBLIC WORKS REVIEWER: <br /> It <br /> COST ESTIMATE REQUESTED BY: 1 <br /> COST ESTIMATE REQUESTED FOR: <br /> at'CITY CREWS TO MAKE NEW CONNECTION TO MAIN <br /> • #OF CONNECTIONS NEEDED: " 501.1) <br /> • TYPE OF CONNECTION: tI` _ S6r4 <br /> • SIZE OF CONNECTION: <br /> • SIZE OF MAIN: " <br /> ❑ CITY CREWS TO INSTALL PIPE FROM MAIN TO BACK SIDE OF METER <br /> • EXCAVATE,SHORE,AND RESTORE BY: IJ CONTRACTOR, ❑ CITY CREWS <br /> • TRAFFIC CONTROL BY: I3 ONTRACTOR, 0 CITY CREWS <br /> • INSTALLATION AND PIPE THROUGH VAULT BY: E CONTRACTOR, 0 CITY CREWS <br /> OTHER DESCRIPTION OR REQUEST: <br /> v <br /> Nigto <br /> Public Works Reviewer Signature Date <br />