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• ' � ['usuCWotacsDEanftrhtExr <br /> Utilides Divuion,3200 Cedat Street <br /> Everett WA 98201 <br /> 425-257-6800 <br /> Receipl li Date Paid <br /> Costof Wark Order Wo�k OrderB <br /> � Cost o(Service Order 3,949.00 Service Order M <br /> Contact Person Pedro Aeguzman Telephone# 206 923-0590 <br /> Requested Dy Dennis Roberson Date of Request B-30-05 <br /> Properry Owner(name) Gdmut 360 Holdl►1gs <br /> Charge Cost to (name if different llian owner) <br /> Address 2717 Rockefeller Ave Ciry Everett Zip 9C201 <br /> Installalion l.ocation 3726 Broadway <br /> Installation type/description/size/etc. _ #4-4"fire serv(ce. Tap main, pipe to vault and insWll DCDA <br /> in vault Devel�er to supply/install vault to grade. Vault to be utilities 575LA with 57-TL-2-332P <br /> lid. Developer to sawcut, excavate and restore pavement. <br /> ❑ The following eslimate is based upon lhe Utilities Division providing all labor, equipment, <br /> maferials, restoration,and final hook-up. <br /> Plcase notify Ihc City of tivcrr,tt Ulilities llivision 70�vorking days in advance of required installation <br /> date to alluw for scheduling and parls procurement <br /> Whenever the eslimated cost is not sufficienl lo cover the lotal ezpense for labor,material,equipment rental and <br /> adminislralive cosls, lhe deFicit shall be charged to the prcperty for which such installafion was made and the <br /> owner Ihereof, and provided furlher, that an^ ezcess payme.it shall be rcfumed to the person applying for the <br /> installalion. <br /> *Deposit must Uc paid prior to ordcring parts ar scheduling work. <br /> WATER 119ETERS 3"AND LA R GER MAY NAVE A SIX TO 10 WEEK LEAD T1ME. <br /> cc Bld�. Permit Center <br /> Matcrial 2,428.00 Mark Sadlcr <br /> Kirk Drooks <br /> Labor and I3enefits 1,045.00 Gordon Witdier <br /> Gquipmcnt Rculcd A08.00 RoUert Waddle <br /> Matt Welbom <br /> Tax 68.00 Paul D-1cKee <br /> 7'OTAL $3,949.00 Gerry Crum <br /> — Uennis RoUerson <br /> Prcp,rcd by: Gerry Crum ��-�_. Dalc Gstimatc Preparcd 9-1-05 <br /> Accepted by: Rcpresenting ' <br /> 1?S'1'ID1AT'f COOD fOR 6 1110NTHS � / //��,)1 <br /> ��.i.i,:,�.. �.���ri.,�.:..: �. .nwin��nid., a o( S �V/ <br />