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Rec�ipt :� <br />X <br />Contact Person <br />�� <br />Cost of 4Vork Order <br />Cost of Servi�e Order <br />PUBLIC 4VORK5 UEPARTD:ENI' <br />Utililies Division, 3200 Cedar Street <br />Lverett WA 9S201 � <br />425-257-5800 <br />� w Ylu : Y .Iqpl <br />_ S14,692.00 <br />8'—���� I,.� � <br />�D�� � <br />4Vork Ordern <br />Service Order R / � U �% <br />Telephone n __ <br />Requested By Gordon Witcher Date of Request 7/25/11 <br />Property Owner (name) <br />" � G <br />Charge Cost to (nnme if ciifferent than owner) Weste�n Engineers �nc. C,—�gA � I��L <br />�.ddress 13000 Highway 99 S _ Ciry Everett Zip 98204 <br />InstallalionLocalion 9930 Eve�gl'een Wdy <br />InstallaHon rype/descripHon/size/etc. Complete 4" DCDA installation and restoration. <br />❑X The folloiving estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoraHon, and final hook-up. <br />Please notifv the Citv of Lverett Utilities Division 10 �vorkinQ davs in advance of required installation <br />d�te to allo�v for schedulin� �nd parts procurement <br />�Vhenever the esHmated cost is not sufficient to cover thc total expense for IaUor, material, equipment rental and <br />administraHve costs, the deficit shall Ue charged to the pxopecty for which such installation �vas made and the <br />ocvner tliereof, and provided further, that any excess payment shall Ue returned to the peeson applyicg for 8ie <br />installation. <br />"'Deposit must Ue paid prior to orderin� p:u�ts or sdiedulina �vorl:. <br />4VATEP. t�I�TL-'P S 3" tLt�TD Lr1P.G�P. itilAY I-IAVC A SIX TO 10 WFEI� LEAD 1T�tiIE. <br />Material <br />Labor and Benefit� <br />Lquipment Rzntal <br />Ta� <br />6,873.00 <br />5,016.0�7 <br />2,550.00 <br />253.00 <br />TOT�1L 14,692.00 <br />Prepared Uy: _ Mike Ward ///C�� Date Estimate Prepared <br />Accept�d by: <br />Representing <br />TSTf�T:�TE GOOD TOR 6 DIONTI�iS <br />cc: Bldg. Permit Center <br />�iark Sadler <br />ICirk Brools <br />Gordon i1'itchar <br />�fatt 4Velborn <br />blike Ward <br />� Randy Allen <br />8/5/11 <br />S:A:EComr.ionVderimlVCcststV?Ol LV9930 Evorora�n lVa�.dcc 1 oI 1 <br />