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� PU6Wl'WORKSDFPAR'IMENT <br /> U6lides Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8800 <br /> Receipt N Dale Paid <br /> Cosl of Work Order Work Urder# _ <br /> ✓ Cost of Service Order 3,949.00 Service Order N <br /> Contact Person Pedro Deguzman Telephonc# 206 923-0590 <br /> Requcsted By Dennis Robcrson Date of Itequest 8-30A5 <br /> Property Owner(name) G8rt1Ut 360 HoldiDgs _ <br /> Char�e Cost to(name i(di((crenl lhan o�cner) _ <br /> Address 2717 Rockefeller Ave Ciry Everett Zip 98201 <br /> installation Location 3726 Broadway <br /> Instaliation rype/description/size/etc #4-4" fire serviee. Tap main, Fipe to vault and install DCDA <br /> fn vault Developer to supply/install vault to grade. Vault to be utilitfes 575LA with 57-TL-2-332P <br /> lid. Developer to sawcut, excavate and restore pavement. <br /> ❑ The following estimate is Uased upon the UtiliHes Division providing all labor,equipment, <br /> materials, restoration,and final hook-up. <br /> Please nolify thc City of Gvcrett Utilitics Division 10 working days in advancc oE required installation <br /> datc lo allow for scheduling and parls procurement <br /> �Vhenever the estimated cost is not sufficient to cover lhe total exyense for labor,material,equipment rental and <br /> adminislrative cosls, lhe deficit shall be charged to lhe property for which such installation was made and the <br /> owner lhercof, and provided furlhcr, Ihat any extess payment shall be retumed to the person applying for the <br /> installatian, <br /> *lleposit musl bc paid priar to ordering parts or scheduling work. <br /> WATER n1ETERS 3"AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cr. Dldg. Permil Cenler <br /> Malcrial 2,428.00 Mark Sadler <br /> Kirk Brooks <br /> Laborand Bcnefits 1,045.00 Gordon Witcher <br /> L'quipment Rental 408.00 RoUert Waddle <br /> A1att Wclborn <br /> T�x 68.00 PaulbicKce <br /> TOTAL $3�949.00 Gerry Crum <br /> Dennis Roberson <br /> Preparcd bq: Gerry Crum � ��' �r�_ Dale Gstimate Preparcd 9-1-05 <br /> Acccptcd by: Representing <br /> GSTIMATE GOOD FOR 6 DiONTHS S �� <br /> , i•,.i,�u_�<<,no��.,..,�:,.,un in.rsi a�„ _�(s of�, <br />