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, . • � PUB[JCWORKSDFPARTMINf <br /> UtiliHes Division,3200 Cedar Street <br /> Everett WA 98207 <br /> 425-257-8800 <br /> Receipl N Date Paid <br /> Cost of Work Ordcr Work OrderN <br /> ✓ Cosl of Service Order 2,200.00 Service Order# <br /> Con[act Person Pedro Deguzman Tclephone H 206 923-0590 <br /> Reyuested Tiy Dennis Roberson Date of Request 8-30-05 <br /> Property Owner(namc) Gelllut 360 Holdillgs <br /> Charge Cosl to(name if di(ferent than owner) <br /> Address 2717 Rockefeller Ave Ciry Everett 2.ip 98201 <br /> InstallaHon Location 3726 B�oadWay <br /> Installation type/descriplion/size/etc. #7- 2" domBstic sBrvice. <br /> ❑ The following estimate is Uased upon Uie Ulilities Division providing all IaUor,equipment, <br /> materials, reslor.clion, and final hook-up. <br /> Plcasc notify the C� of Gverett Utilities Division 10 working days in advancc of required installation <br /> dalc to allow for schedulin�and parts�rocurement <br /> Whenever qie eslimated cost is not sufficient to cover the total expense for laboq material,equipment rental and <br /> administrative costs, Um Jeficit shall Ue charged lo the property for which such inslallation was made and the <br /> owncr thercof, and provided Curlhcr, that any excess payment shall be�elurned to the person applying for the <br /> inslallal�. n. <br /> *Deposil must be paid prior to ordcring parts or scheduling work. <br /> WATER METERS 3"AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cr. Bldg.Permit Cenler <br /> Malcrial Mark Sadler <br /> Kirk Brooks <br /> Labor and 13enefits Gordon Witther <br /> Gquipinent Rental Robert 1Vaddle <br /> 1�-fatt Wclborn <br /> Ta� Paul McKee <br /> 7'07'�V, $2,200.00 Gerry Crum <br /> Dennis RoUerson <br /> Prcp;ucd b�: Gerry Crum ���v�_1)�tc I�stimntc Preparcd 9-1-05 <br /> Acceplcd by: Represcnting <br /> F.ST@tATF, GOOD FOR 6 AtONTHS �/ <br /> � i�i.u���.����w,��,..,.��,v�i.��;.iu�reie., 7 01' 8 7' <br /> /l"1� <br />