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PUBLIC WORKS DEPARTMENT <br />Utilities Division, 3200 Cedar Street <br />Eveaett WA 98201 <br />425-257-8800 <br />rGrOTTA <br />Receipt # /9-13 9to <br />x Cost of Work Order <br />Cost of Service Order <br />Contact Person Jay Duffy <br />Requested By George Hanson <br />Property Owner (name) JJMD2 <br />Charge Cost to (name if different than owner) <br />$$3776.00 <br />Work Order# <br />Service Order # <br />Telephone # <br />Date of Request <br />Address 9394 Old Hwy 99 N. Rd. City: Burlington, WA <br />Zip . 98233 <br />Installation Location. 1205 SE Everett Mall Way <br />Installation type/description/size/etc. . 8" on; 8".tap and connection after pressure & purity test. <br />Contractor to excavate, shore and restore. #2 — <br />The following.estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoration, and final hook -up - <br />Please notify the City of Everett Utilities Division 10 working days in advance of required installation <br />date to allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to corer the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property for which such installation was made and the <br />owner thereof; and provided further, that any excess payment shall be returned to the person applying for the <br />installation. <br />*Deposit must be paid prior to ordering parts or scheduling work. <br />WATER METERS P AND LARGER 1VLAY HAVE A SIX TO 10 WEEK LEAD TIME. <br />M,iterial <br />L_bor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />2315.00 <br />871.00 <br />525.00 <br />65.00 <br />$3776.00 <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witrher <br />Matt Welbom <br />Mike Ward <br />Cliff Lindman <br />Randy Allen <br />Prepared by: Mike Ward ���%�/ Date Estimate Prepared /I'`/0 <br />Accepted by: . 06/10/10 Representing <br />ESTIMATE GOOD FOR G MONTHS <br />S:\BCommon\clerical\Costest\2010\1205 SE Everett Mall Way.DOC . I of i / <br />�r <br />