Laserfiche WebLink
. ' PuewcWoaicsDePnrrrMEvr <br /> • � Utilides Division.3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257�8800 <br /> Receipl # Date Paid <br /> Cost of Work Order Work OrderH <br /> ✓ Cost of Service Order 2,200.00 Service Order N <br /> Contact Pcrson Pedro Dc��zman Tclephone ?J 206 923•0590 <br /> Reauested IIy Dennis RoUcrson llate oE Request B-30-05 <br /> Property Owner(name) Gatltut 360 HoldingS <br /> CharFe Cosl to(namc if d:fferenl than owner) <br /> Address 2717 Rockefeller Ave Citp Everett 7_ip 98201 <br /> Installation Localion 3726 B�oadway <br /> installation tqpe/descriplion/siu/etc #3- 2" domestic service. <br /> ❑ The (ollowing estimate is Uased upon Ute Utililies Division providing all IaUor, equipment, <br /> malerials, resloration, and final hook-up. <br /> Pleasc nolify lhe Citv of Lverelf Ulililics Division 10 working days in adt�ancc oC required installation <br /> date to allocv for scheduling and parls procurecicnt <br /> Whene��er Ihe estintated cost is not sufficient lo cover Ihe lolal expense for laUor,material,equipment renlal and <br /> adminislrali��c cosls, Utc dcficit shall bc diarged lo lhc properly for which such insWllalion was madc and thc <br /> o�vner thcrcol, and provided (urlhcr, Ihal any excess pa��menl shall be rch�rned lo lhc person appl}'ing for lhe <br /> inslallation. <br /> *Deposit musl Ue paid prior to ordcring parls or scheduling work. <br /> WATER 111FTERS 3"AND LAIZGGI2111AY HA VT: A SIX TO 10 WEEK LEAD TI117E. <br /> cr. 131dg.Permit Cenler <br /> Malcrial Mark Sadlcr <br /> Kirk Drooks <br /> Labor and 13cncfits Gordon lVildier <br /> Lquipmcnt Rcntal RoUcrt lVaddle <br /> Matt Wdborn <br /> '�'ax Paul �fchce <br /> 7'OTAL $2,200.00 Gerry Crum <br /> Demiis Roberson <br /> Prcparcd by: Get'ry C�um�'�i��',/,zz=—� Untc I:stitnatc Ptcpnred 9-1-05 <br /> Acceptcd by: Rcprescnting <br /> I;tiT111L�TG GOOD FOR( p10NTHS <br /> ,'� <br /> . i•, ���. �..��,�.i-o�„�. ,.,...,��iin�,.i,i.: __3 _ of 8 _ (�q'� <br /> l� <br />