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Reccipt !! <br />� PuoucWoaxsDei�nian�isNT <br />UL7IINCS DIVI51017� 3200 Cedar Strect <br />LVCfCIt �'V!� 9�2�1 <br />425-257-8800 <br />Costof Work Order <br />u i z�o -� o-� <br />Uatc l',iid Bill <br />Work OrderN <br />X Cost of Service Order $4789.00 Service Order # <br />Contact Person Telephone # <br />Reques(ed Uy Gordon WitChe� Date of Request <br />Property Owner (namc) Washin�ton State Dept. of General Adtnin., Division of Engineering and <br />Architectural Services <br />Char�c Cost fo (name if different �lian owner) EVare(t Commun(ty Colloge (Accounts Payable) <br />nddress 2000 Tower St. City Everett Zip 98201 <br />1nsl�IlaUonLocafion 930 N. Broadway — <br />Instalintion type/description/sir.e/etc. install 4" me?er in contractor-installed and piped <br />❑ The followin� eslimate is based upon lhe UHlilies �ivision providing � Il 1nUor, equipment, <br />materiale, resforalion, and final hook-up. <br />Pic�s� notif�ihc Cilv of l�vercll Utilil`es Division 10 worlcinc davs in adv�nce of renuired inst:illalion <br />d�te to illow Por Sclicduling vid parls Drocurement <br />Whenever the eslimaled cost is not sufficlent to cover the total expense Eor labor, material, equipmenl rental nnd <br />administralive cosls, Ihe deficit shall Ue charged ta the properly Eor tvhich such inslallalimi was ntade and the <br />uwncr lhercof, and provided furUicr, Uiat any excess payment sliall be returned to the person applyin� [or Ihe <br />inslallation. <br />"lleposit must bc paid prior to ordcrinb pnrls or scheduling wor]<. <br />WATER METERS 3" AND LA RGER MAY HAVE A STX TO 10 W�TK L�AD TINIE. <br />Malcrial <br />Lnbor and IIcncrls <br />Equipment Ren��l <br />'I'nx <br />TOTAL <br />53589.00 <br />814.00 <br />300A0 <br />82.00 <br />$4785.00 <br />P�:pnrcd by: Mike Ward Untc Bstimntc Yrcparcd <br />lcccplcJ Iry: <br />Rcpresenting <br />IiSTI11iATls COOD rOR 6 MONTIIS <br />cc: Uldg. Permit Center <br />Iviark Sadler <br />Gordoi� Witcher <br />�vlutt Wclborn <br />Mike Ward <br />Rnndy Allen <br />ti.^nCninman\cicrica(1CnsLc51�2012\ 930 N. Broadwny METBR.doo <br />lofl <br />