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® PUBLIC WORKSDENNRTMtNr <br /> Utilities Division,3200 Cedar Street ` �] OCI <br /> Everctt;WA :98201 �J (i / <br /> E V E R E T T <br /> WASHINGTON <br /> Receipt # Date Paid <br /> Cost of work Order Work Order <br /> X Cost of Service girder $4041.00 Service rider 0 <br /> Requested By: Thad Newport <br /> Contact Person Anthony.Pittman Telephone# . 42.6,_68:7_-7$93 <br /> Email Address: A6th6ny,Pittman@mortenson.com Date of Request <br /> Property Owner(name) Everett Community College <br /> Charge Cost to(name if different than owner) kttn-Patrick Sisneros - <br /> Address 2000 Tower,.St City Everett;WA Zip 98201 <br /> Installation Location 1001 N Broadway <br /> Installation type/description/size/etc. 41'. tap & connection: 4tap on 8" water maiti and`cOnnect to <br /> Contractor Installed 4 DJ.-pipe after' uri Contractor to excavate, shore and restore <br /> ❑ The following estimate is based upon the Utilities Division providing all labor,egvil nit'. <br /> materials, restoration,and final book-up. <br /> Please notifv the Cit. of.Everett.Utilities Divisiori 10 woAcin .da s is advance of,re4hired installation..: <br /> date to allow for schedulin and parts. rb6irei6ent <br /> Whenever.the estimated cost is.not sufficient to cover the total expense for labor,material,egiupmeant rerita[end' <br /> administrative costs,:the deficit shall be charged to'the property,for which surli installati` was made a;nd 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 /> *Must have valid Public Works Permit before work can be performed. <br /> WATER METERS 4".AND LARGER MAYHAVE-A SIX TO 10 WEEK LEAD TIME. <br /> Material $1720.00 cc: tldg Peraiit.Cellter <br /> (Eve re ttEPSIOEverettWA,gov) <br /> Labor and Benefits $1586.00 Matt Welborn-Email&I4C <br /> CcjLtipm Randy A11en-Emaile;rt Rental $542.00 Jinn Spooner-.FIC. <br /> Tax $193.00. Sabrina Fandler-Email <br /> Grant blobh EntaiI.' <br /> Restoration Thad Newport-Email <br /> TOTAL $4041.00 Terri Jorgenson-En.iail <br /> Prepared by: Jim Spooner ,;4 ` 1 Date EafiBate Prepared 9-3-2021 <br /> � e• <br /> Accepted by: �r Representing _V. <br /> ESTIMATE GOOD FOR b MONT' <br /> S;U]Caron>ot%clerical'Coslest'20211 1001 N Broadwi 4 inch tap CEFP <br />