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. . PUBWC WORKS DEPARTMEM' <br /> • �C±��� UHIiHcs Division,3200 Cedar SUeet <br /> Everett WA 98201 <br /> 425-257-Bf300 <br /> Date Yaid <br /> Receipt N <br /> Cost of Work Order __ Work OrderN <br /> ✓ Cost of Service Order 2,200.00 Service Order N <br /> Contact Person Pedro Deguzman Tclephone t� 206 923-0590 <br /> Requested i3y Dennis Robcrson Date of Request 8-30-05 <br /> Property Owner(name) _ Gamut 360 HOldin s — I <br /> Charge Cost lo(name i(diffcrent lhan o�aner) <br /> Address 2717 Rockefeller Ave City Everett Zip 96201 <br /> Installation LocaHon 3726 Broadway <br /> Installalion type/descripHon/size/etc. #3-2" domestic servlce. <br /> � 7'he following estimate is Uased upon the Utililics Division providing all labor,equipment, � <br /> malcrials,restoration,and tina]hook-up. <br /> Plcase notif the Cit of Lvcrett Utililies Division 10 workin da s in advance of m uired installation <br /> dat� to allow for schcduling and varts vrocurcment i <br /> Whenever Ihe estimated cost is not sufficient lo cover the lotal expense for labor,material,equipment rental and <br /> administrative cosls, the deficit shall be charged to the property for which such inslallation was made and the <br /> owner lhercof, and provided [urther, lhat any excess payment shall be rcturned ro lhe person applying for the <br /> inslallalion. <br /> *Dcposit musl Uc paid prior lo ordcring parts or scheduling�vork. <br /> WATER METERS 3"AND LA RGER MAY HA VE A Sl,l' TO l0 WEEK LEAD TIME. 'I <br /> cc Bldg.Pennit Center <br /> Mark Sadler <br /> h1atcrial Kirk T3rooks <br /> Labor and I3cnefits Gordon Wilcher <br /> RoUcrt Waddle <br /> Gquipmcnt Rcntal 1�7att\Nclborn <br /> Tax Pau11�1cKce <br /> Gerty Crum <br /> TOTAL _ $Z,200.00 Dennis Roberson <br /> prcpared h}�: Gerry Crum /���s��� llate Cstimate Prepared 9-1-05 <br /> Acccptcd by: Rcpresenting <br /> 1?STI�IATP; GOOD FOR 6 DTONTHS � <br /> i__ af_ 8 <br /> . , .. ... ,,. ,. � �, . .��n�,�.i.�. . �--- <br /> � <br />