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• <br /> EVERETT PUBLIC WORKS REQUEST <br /> EL. WAS H I N GTON FOR WATER DEPARTMENT COST ESTIMATE <br /> (ATTACH 1 WATER PLAN FOR REFERENCE) Date Request Sent: 5/7/2020 <br /> Associated Permit#: PW2002-034 <br /> PROJECT ADDRESS: 2201 124TH ST SE <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR AND DETACHED GARAGE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: AIKINS BRIAN&CANDICE NAME: AIKINS BRIAN&CANDICE <br /> ADDRESS: 3523 FEDERAL AVE ADDRESS: 3523 FEDERAL AVE <br /> EVERETT,WA,98201 EVERETT,WA,98201 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTRACTOR: CONTACT: ❑ Owner, ❑ Applicant, Sther #►4 . '.'- <br /> NAME: ARMSTRONG HMS REDMOND INC NAME: BAXTER FRED <br /> ADDRESS: 2709 AUBURN WAY N PHONE: 4253483975 <br /> AUBURN,WA, 98002 EMAIL: <br /> PHONE: 4258855552 <br /> EMAIL: <br /> REQUEST FROM PUBLIC WORKS REVIEWER: <br /> COST ESTIMATE REQUESTED BY: PresevD <br /> COST ESTIMATE REQUESTED FOR: <br /> A. CITY CREWS TO MAKE NEW CONNECTION TO MAIN <br /> • #OF CONNECTIONS NEEDED: <br /> • TYPE OF CONNECTION: f-® -to <br /> • SIZE OF CONNECTION: 1 ® <br /> ■ SIZE OF MAIN: . t. <br /> ❑ CITY CREWS TO INSTALL PIPE FROM MAIN TO BACK SIDE OF METER <br /> • EXCAVATE,SHORE,AND RESTORE BY: ❑ CONTRACTOR, ❑ CITY CREWS <br /> • TRAFFIC CONTROL BY: ❑ CONTRACTOR, 0 CITY CREWS <br /> • INSTALLATION AND PIPE THROUGH VAULT BY: ❑ CONTRACTOR, ❑ CITY CREWS <br /> OTHER DESCRIPTION OR REQUEST: <br /> _- / , I -to <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />