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� PUBLICWORICSDEPARTMEM <br /> Utilities Division,3200 Cedar Street <br /> Lverett WA 98201 <br /> 425-257�8800 <br /> Receipt H Date Paid <br /> Cost of Work Ordcr Work Orderlr` <br /> ✓ Cost o(Service Order 2,200.00 Service Order N <br /> Contact Pcrson Pedro Deguzman Tclephone ri 206 923-0590 <br /> Rcquested Dy Dennis Aobcrson Date of Request 8-30-05 <br /> Property Owner(name) Galnut 360 Holdings <br /> Charge Cost lo(name if di(ferent lhan owner) <br /> Address 2717 Rockefeller Ave Ciry Everett 7_ip 98201 <br /> Installation Location 3726 Broadway <br /> Installation type/descripHon/size/etc. #3- 2" dortleStiC ServlCe. <br /> ❑ Thc following cstimale is Uased upon Uie UliliHes Division providing all laUor,equipment, I <br /> mnlerials,restoralion,and final hook-up. �I <br /> Plcisc notif�the City of�vcrett Utilities Division ]0 working days in advzncc of required installation <br /> dale to allow for scheduling and parfs procurement <br /> 1Nhenever the estimaled cost is not sufficient to cover the lotal expense for IaUor,material,equipment rental and <br /> adminislrative cosls, lhe deCicit shall be chuged to the property for which such installalion was made and the <br /> owncr thcreof, and provided furthcr, that any excess payment shall Ue returned to lhe person applying for the <br /> inslallalian. <br /> *Deposit must Ue paid prior to ordcring parts or scheduling work. <br /> WATER METERS 3"AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cc: Bldg.Permit Center <br /> Matcrial r4ark Sadlcr <br /> Kirk Drooks <br /> Labor and Bcnctits Gordon Witcher <br /> Gyuipment Rental Roberl��'addle <br /> I�tatt 11 clbom <br /> T'�r Pnul McKec <br /> TOTAL $2,200.00 Gerry Crum <br /> Dennis Roberson <br /> Prcparcd by: Gerry Crum����s�—� Datc Lstin,atc Prcparcd 9-1-05 <br /> :lcccpteJ by: Rcprescn�ing <br /> I?STI\tATE GOOD FOR 6 D10NTHS `�� �� <br /> � i,i.n�,�.��oai,r,�..,.�i;..�.einmer�ia.. _�of S� <br />