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��y�� i'uAuc Wowcs Dern�rn�rrrrxr <br /> UdliHes Division,3200 Cr.dar Street <br /> Everett WA 98201 <br /> 425-257-8800 <br /> Receipl k _ Date Paid <br /> ✓ Cost oF Work Order 3,965.00 Work Ordcrll _ <br /> Cost o(Service Order Service Order N <br /> Contact Person Pedro Deguzman Telephone y 206 923-0590 <br /> Requested By Dennis Roberson Date of Request 8•30-05 <br /> Properry Owner(name) Gamut 360 Holding3 <br /> Charge Cost to(name i!diffcrent Uian owncr) _ <br /> Address 2717 Rockefeller Ave Ciry Everett 'Lip 98201 <br /> Inslallalion Location 3726 Broadway <br /> Instailation type/description/size/ecc. #1- new hydrenG Hot tap 14" main and install pipe to _ <br /> location, install hydrant. DeveloFer to sawcut, excavate, restore pavement _ <br /> ❑ The following eslimale is based upon Uie UHlities Division providing all labor,equipment, <br /> malerials, restoration, and final hook-up. <br /> Plcasc notify the Cit��f Iivcrclt Utilitics llivision 10 working days in advance of recLuired installation <br /> date to allow for scheduling and parts procurement <br /> Whenever the eslimated cost is not sufficient to cover the total expense for labor,malerial,equipment rental and <br /> adminislrative cosls, Ihe deficit sh�ll be charged to the property far which such installation was made and the <br /> owner thercof, and provided further, that any eacess payment shall Uc retumec' to the person applying for the <br /> installation. <br /> *Deposit nu�sl bc paid prior to ordering parts or scheduling work. <br /> WATER NIETERS 3"AND I.ARGER MAY NAVE A SIX TO ]0 WEEK LEAD TIME. <br /> cc Dldg. Permit Center <br /> Material 2,44d.00 Mark Sadler <br /> Kirk Drooks <br /> Labor and 13cnefits 1,045.00 Gordon Wilcher <br /> �yuipmcnt Remal _ 408.00 Robert Waddle <br /> Matt Welborn <br /> 'I'ax 68.00 Paul McKce <br /> TOT:11, $3,965.00 Gcrry Crum <br /> ---- ----- Dennis Robecson <br /> �/�l,� ;����� <br /> Prcp�rcd by: Gerry Crum d,� Datc 1?s�im��: Prcparcd 9-1-05 <br /> Acccptcd by: Rcprescn ':�� <br /> 1?STIn1ATB GOOD FOR o AtONTHS � � L <br /> . i.•.�.m:_. ..�.-�.i„�.-�..�. .��i;r�rsia, _�of� <br />