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PUflI,IC WORKS DEPaRTMENT <br /> UTILITIES DIVISION <br /> COBT EBTII[I1TE 9HEET 2300 CEDAR STREET <br /> EVERETT, WASHINGTUN 98201 <br /> (206) 259-8800 <br /> Receipt # `�Gl �� Date Paid R�� �' �c� <br /> Cost of Wosk Order $ Work Order � <br /> x Cost of Service Order S 6360 Service Order # �_ <br /> Requested By: Gordon Witcher Date of Request 7-29-88 <br /> Property Owner (name) Holidav Retirement Coru. <br /> Charqe Cost to (name if different than owner) <br /> Address �'�a�-1?th St. S.E. State Salem. Oreaon Zip 97302 _ <br /> Installation Location 3915 Colbv <br /> Installation type/deccription/size/etc. Excavate 8" main, hot tan. in_ <br /> &tal�,p�,pina 3" meter construct vault and restore area <br /> The following estimate is based upon the Utilities Division providing <br /> all laber, equipment, materials, restoration, and ffnal haek-up. A <br /> double ctieck valve assembly for temporary service is available from Yhe <br /> City's Permit Counter by requestinq a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estimatsd cost is not sufficient to cover the total expense <br /> for labor, material, equipment rental and administrative costH, the <br /> I deficit shall be charged to the property for which such installation wz+s <br /> made and the ownes thereof, and. provided further, that any excess <br /> payment shall be returned t� the person applyinq for the installation. <br /> i <br /> it��i:�a Co�t s�ti�at�: <br /> Labor i Overhead 2688 cc: Tim Tyler <br /> Material 2924 Don Weitkamp <br /> Equ.ipment Rental 648 Larry Crawford <br /> Surface Restoration 100 Bob Chervenell <br /> service order Cost 6360 Clafr Olivers <br /> Totel 6360 <br /> Prepared by O. Don Wahl <br /> C�� Revised 3/15/88 <br /> � �s�;� . . <br /> ��, _, <br /> �.,.,�m,� <br />