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tBLIC WORKS REQUEST S <br /> FOR WATER DEPARTMENT COST ESTIMATE <br /> (ATTACH 1 WATER PLAN FOR REFERENCE) Date Request Sent: 10/17/2018 <br /> Associated Permit#: PW1801-046 <br /> PROJECT ADDRESS: 1300 W MARINE VIEW DR & B1801-031 <br /> DESCRIPTION OF WORK: SITE WORK FOR WATERFRONT PLACE APTS <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SEALEVEL PROPERTIES NAME: CPH CONSULTANTS LLC <br /> ADDRESS: 9675 SE 36TH ST,STE 105 ADDRESS: 11431 WILLOWS RD NE STE 120 <br /> MERCER ISLAND,WA, 98040 REDMOND,WA,98052 <br /> PHONE: 2065881147 PHONE: 4254840948 <br /> EMAIL: EMAIL: RYAN@CPHCONSULTANTS.COM <br /> CONTRACTOR: CONTACT: ❑ Owner, 0 Applicant, ❑Other <br /> NAME: [ConName] NAME: SCHAUBLE RYAN <br /> ADDRESS: [ConAdd] PHONE: 4254840948 <br /> [ConCi], [ConSt],[ConZip] EMAIL: RYAN@CPHCONSULTANTS.COM <br /> PHONE: [ConPhn] <br /> EMAIL: [ConEmail] <br /> REQUEST FROM PUBLIC WORKS REVIEWER:COST ESTIMATE REQUESTED BY: (%.brfho&: araig. <br /> COST ESTIMATE REQUESTED FOR: SE.t, Pc-doSTS 96-LoW 4 /1711IVI 'D lii 6A/ <br /> ITY CREWS TO MAKE NEW CONNECTION TO MAIN. <br /> • #OF CONNECTIONS NEEDED: 3 <br /> • T' • OF CONNECTION: <br /> • SIZE OF C• NECTION: <br /> • SIZE OF MAIN: <br /> ❑ CITY CREWS TO INSTALL PIP 'OM MAI • BACK SIDE OF METER <br /> • EXCAV• E,SHORE,AND RESTORE BY: ❑ CONTRACTOR, 0 CITY CREWS <br /> • - •FFIC CONTROL BY: r- CONTRACTOR, 0 CITY CREWS <br /> • INSTALLATION AND PIPE THROUGH VAULT BY: ❑ CON CTOR, ❑ CITY CREWS <br /> OTHER DESCRIPTION OR REQUEST: <br /> © COMeCAL EX /PIE �n q"//Pre Ar71 SIRE <br /> ® slu.6 ID en I. Far fi►e, „wivitehik ZX 4 vain <br /> �eonno 8"NDP ac -E ✓a,( (n iwvr Fx.Gvtwrz adv ; /ncI g i.W.5 - <br /> tol7- Mg <br /> Public Works Reviewer Signature to <br /> REVISED 2/24/2016 <br />