Laserfiche WebLink
PUBLIC WORKS DEPARTMENT <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />425-257-8800 <br />• <br />Receipt # <br />X <br />Cost of Work Order <br />Cost of Service Order <br />Contact Person Paul Hamstra <br />Requested By Gordon Witcher <br />Property Owner (name) <br />Charge Cost to (name if different than owner) <br />896.00 <br />Date Paid <br />Work Order# <br />Service Order # <br />Telephone # 425-493-1451 <br />Date of Request 9-19-06 <br />Address 4204 Russel Rd. Ste. M City Mukilteo, WA Zip 98276 <br />Installation Location 502 Madison St. <br />Installation type/description/size/etc. #2 — 2 inch tap. Make hot tap on 6 inch line and install 2 inch <br />poly pipe to developers connection point. <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 WEEK LEAD TIME. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />273.00 <br />328.00 <br />279.00 <br />16.00 <br />896.00 <br />Prepared by: Gerry Crum imate Prepared <br />Accepted by: <br />Representing <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witcher <br />Robert Waddle <br />Matt Welborn <br />Benyam Stephanos <br />Gerry Crum <br />Dennis Roberson <br />9-22-06 <br />ESTIMATE GOOD FOR 6 MONTHS <br />S:VlCommon\clerical\Cost.est\502 Madison SLDOC 2 of 2 <br />