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• PUBLIC WORKS DQ'ARTMFNT <br /> UHlities Division,3200 Cedar Street <br /> Everett WA 982(Il <br /> 425-257-B800 <br /> Receipt N Date Paid <br /> Cost of Vrork Ordcr Work OrderN <br /> ✓ Cost of Service Order 2,200.OU Service Order M <br /> Conit:t Person Pedro DeRuzman Telephone# 206 923-0590 <br /> Requested By Dennis Roberson Date of Request 8-30-05 <br /> Property Owner(name) Gamut 360 Holdings <br /> Charge Cost lo(namc if different than owner) <br /> Add:ess 2717 Rockefeller Ave City Everett Zip 98201 <br /> Installalion Localion 3726 Broadway <br /> Installation lype/description/sizc/ela #2- 2" domeStic Service. <br /> ❑ The tollowing estimate is Uased upon the Utilities Division providing all IaUor,equipment, <br /> materials, restoration,and final hook-up. <br /> Please nolify the City oP Gverett Ufilities Division 10 workinp days in advance of required installation <br /> date to al(ow for scheduline and parts procurement <br /> Wlienever lhe estimated mst is not sufficienl to cover lhe lotal expense for labop material,equipment rental and <br /> administralive costs, lhe deficit shall Ue charged to Ihe property for which such installation was made and the <br /> owncr thcrcof, and provided furtheq lhal any excese payment shall be returned to Ihc person applying for the <br /> inslallation. <br /> "Deposil must Ue paid priar to ordcring parts or scheduling work. <br /> WATER I11�'TERS 3"AND LA RGER 11�fAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cc: Uldg.Permil Cenler <br /> Matcrial Mark Sadler <br /> Kirk Brooks <br /> Labor and 13cu:rts Gordon Witchcr <br /> L•quipmcnt Rcntal Robcrt�Vaddlc <br /> Matt 11'clUom <br /> Tax Paul McKee <br /> Gerry Crum <br /> TOTAL $2,200.00 Dennis Robcrson <br /> PrcparcJ by: Gerry Cr��m L���/�l<i Uatc I;siim;�tc Prcpared 9-1-05 <br /> Acccptcd by: Rcpresenting <br /> I;STIDL�7'I: GOOD FOR 61�ONTHS �� <br /> ; i•.in.�.i� ����r.u„_-.:.�„�n�i.iu�i�sia,._ 2 0( S _ <br />