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6515 EVERGREEN WAY 2016-01-01 MF Import
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6515 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/12/2017 11:05:04 AM
Creation date
2/9/2017 10:39:53 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
6515
Imported From Microfiche
Yes
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CnSii GS i I�IATE SHGGT <br />Reccipt k <br />✓ Cost of Nork Order <br />Cost of Scrvice Ordcr <br />Cont,�ct Person Shane <br />� � �V' �� V LS Public �Vorks D�partment <br />u u �Itilitics llivision, 3200 Cedar Strcet <br />MAY �$ 2001 Evcrett, �Vashington 98201 <br />(a�s> zs•;-ssoo <br />.............................................. <br />CITY OF _VERETT <br />Engineerin�/Nublic Services <br />2,811.00 <br />Requested By Gordan Witcher <br />Preperty Owner (name) _ Armored Minl Storage <br />Char�e Cost to (name if different than owner) <br />Dale Paid <br />Work Order N <br />Service Order # <br />Telephone # 425 228-3170 <br />Date of Requcst 430-01 <br />Address 6515 RttittiBF �, � �,���� City Everett Zip 98203 <br />Installation Location Same <br />Ins[allation type/description/size/etc. #1 — 6" x 8" eonnection. Expose existing 6" eut in 6" GV and <br />6 x 8 tee, make connection to developer installed 8" main. <br />� The foilowin� estimate is based upon the Utilities Division providing all labor, equipment, materials, <br />restoration, and final hook-up. <br />Plcasc nolifv the Citv of Everett Utilitics Division 10 �rorkina davs in advancc of renuired installation datc to <br />allorti� for scheduline and parts p�rocu� ement <br />1Vhenevcr the estimated cost is nul su(ticient to corcr the total expense for labor, matcrial, equipment rental and <br />administrative costs, the dcficit shall be chargcd to the property For which such installation Na.s madc and thc owner <br />thercof, and providcd furthcr, thal any excess payment shall bc rcturned to the person applying for the installation. <br />*Dcposit must bc paid prior to ordcring parts or schcduling crork. <br />WATER METERS 3"AND LARGER MA Y HA VE A SIX TO 10 WEEK LEAD TIME, <br />�'�:11Cf18� <br />Laborand Benefits <br />Gquipment Rental <br />TOTAL <br />Prcparcd by: <br />Acceptrd by: <br />cy;,� DId�=. Pcrmit Ccnlcr <br />�F3 'C�:IIf Q�I\"l`�ti <br />s%�J.00 n�7 Tum I'hcu'ord <br />1 620.00 �^�\ � hirk Brouks ; _ � <br />� 'Gordan Witcher <br />516.00 � �j Rohcrt 11':iJdlc <br />� Sl�n N1i�chcll <br />S2,811.00 \ Paul ,�1cF:cc <br />' ` �?� � �1�\ Gcrr}' Crum <br />Y � � <br />� � rGf � Al:�n L�,�ke <br />J <br />�.� � �, °� <br />�� /� <br />Crum _ l �='L-t'—� Date 6,t. <br />Pr�nared: I Representin_: <br />5-3-01 <br />, .,.�: ::���,,,;.������,�,.�.�::�i.��<, ,:���, <br />1 0l 3 <br />
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