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Receipt # <br />Cost of Work Order <br />X Cost of Seivice Order <br />ContactPerson Ron Nansen <br />PUBLIC WORKS DEPARTMENT <br />Utilifies Division, 3200 Cedar Sh•eefi <br />Evereii WA 98201 <br />425-257-8800 <br />• i , <br />$3545.00 <br />IZequested By �enyam Stephanos <br />Properfy Owner (name) Nansen & Hansen Construction <br />Chaxge Cost to (name if diffez•ent fllan owner) <br />Date Paid �,�'� �,� � :.�.r�� �'.� <br />Work Order# <br />Service Order # <br />1 ���1e�e # <br />Date of Requesfi <br />� 0 ��- l�3'��� <br />—� ,(_l�U ��U��- <br />10-16-12 <br />Address 10131 Moran Rd. Czty Arlingfion z� <br />p 98223 <br />— T3ista1latiozr��t7ar� —Parcef #0055b`�60���00 - Lot� 1L;Cr, — - ------ <br />Installation type/description/size/etc. <br />estimate for lot� 106 and 108. <br />New service installation oufside city limits. <br />�� The following estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoxation, and fin�l hook-up, <br />Please notify the Cify of Evereft Utilif�ies Division 10 worlcin� days in advance of required installation <br />date to alIow for schedulin and parfs procuremenf <br />Whenever the estimated cost is not sufficient to cover the toFaI expense fox labor, material, ec�uip��tent rental and <br />administrative costs, the deficii shall be charged to the properfy for which such installation was made and Ehe <br />owner tliereof, and �rovided further, t11at any excess payment sliall be returned to the person applying for tlie <br />installation. <br />�'Deposit inusE be paid prior to ordering parts or sclzeduling worlc, <br />WATER METEIZS 3"AND LARGER MAY HA�VE A SXX TO � 0 WE�I� LEAD TIME. <br />Matei•ial 600.00 cc; Bidg, Permit Center <br />Mark Sadler <br />Labor and Benefits 2034.00 Gordon Witcller <br />Equipment Rental 950.00 Math Welborn <br />Mil<e Ward <br />�a� 6'I . UO Randy Alten <br />TOTAL 3545,00 <br />Pi•epared by: Mike Ward ���;%j Date Estimate Pi•epared 90-17-12 <br />Accepted by; <br />S:1i�Commonlcicrical\Cost.est12012\ 10139 Mofan Rd. <br />Representing <br />�STIMATE GOOD FOR 6 MONTHS <br />1 oF1 <br />