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Receipt N <br />J <br />CuntactPcrson <br />�' <br />� <br />Cost o( Work Order <br />Cost of Servicc Order <br />Niclson <br />PUBLIC WORKS DEPARTMEM <br />UtiliHes Divisi�: , 32Q0 Ce�ar Shcet <br />Everett WA 98207 <br />425-257-8&00 <br />Requested By Gardon Witcher <br />Property Owncr (name) NfelSnn Fa11ti <br />Charge Cost to (name if di(ferent U�an owner) <br />5,399.00 <br />Partners <br />Date Paid <br />Work Order# <br />Service Order # <br />7'clephone �i 425 355-6781 <br />Date of Renuest 9-29-04 <br />Address 3615 Mukifteo Blvd City Everett "/.ip 98203 _ <br />Installation Location 6625 Bev��� Blvd — <br />Inslallation type/descripiiun/size/etc. #1 – 6" tap Expose main in Bev. Bivd install eontrol valve _ <br />and make tap Trench to property line and install 20" (±) 6" DI pipe. Make final connection after _ <br />purity Restore street. — <br />❑ The following estimate is based upon dic UH1iHes Division providing all labor, equipment, <br />materials, restoration, and final hook-up. <br />Pleasc notify thc City of Fvcrett Utilitics Division i0 workin� days in advance o: required installation <br />date to allow for scheduling and varts procurement <br />Whenever lhe estima[ed cost is not sufficient to cover the total expense for labor, maferial, equipment rental and <br />adminislrative costs, t�ie deficit shall be chuged to the property for which such installation was made and the <br />owncr thereof, and prot�ided furlher, that any excess payment shall bc returned to the person applying for the <br />installation. <br />"I)eposit must bc paid prior to ordcring parts or scheduling �vork. <br />WATER METERS 3" AND LARGER MAY tIAVE A SIX TO 10 WEEK LEAD TIMT:_. <br />Matcrial <br />Lahnr anJ 13enefits <br />I:yuipmcnt Kcnlal <br />�r,,. <br />TO'1'A L <br />1,124.00 <br />3,344.00 <br />836.00 <br />93.00 <br />$5,399.00 <br />cc: E31dg. Permit Center <br />Mark Sadler <br />Kirk Urooks <br />Gordon Witcher <br />Robert Waddlc <br />btatt Welburn <br />Paul McKee <br />Gerry Crum <br />%li�Prepnrcd hy: Gerry Crum � ate ' timate Prepared 10-1-04 <br />Acccplcd hy: <br />, .� ,,,���„ ,.�„�.,� �� ,.. �.� r ,��,���.��:�,,,, ,,�„ ,�„� <br />Representing _ <br />F.STIDIATF. COOD FOR 6 MONTNS <br />W <br />� <br />�P <br />0 <br />0 <br />cs� <br />I of ? <br />