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PUBLICMAfi�l9E11TMerr <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />925-257-8800 <br />Receipt # <br />Cost of Work Order <br />x Cost of Service Order $18,899.00 <br />Contact Person Carlos Chaves <br />Requested By Gordon Witcher <br />Property Owner (name) Carlos Chaves <br />Charge Cost to (name if different than owner) <br />Address 16721 122nd PI NE City <br />Installation Location 4708 Dogwood <br />Bothell <br />MAILED MAS COPY <br />Date Paid <br />Work Order# <br />Service Order # <br />Telephone # <br />Date of Request 6-24-13 <br />Zip 98011 <br />Installation type/description/size/etc. Four inch fire service installation from tap on 12" main to <br />stub out of vault, street and sidewalk restoration. <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 cover 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 provitled further, that any excess payment shall be returned to the person applying for the <br />installation. <br />*Deposit must be paid prior to ordering puts or scheduling work. <br />WATER METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TINIE. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />$8701.00 <br />7323.00 <br />2550.00 <br />325.00 <br />$18899.00 <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Gordon Witcher <br />Matt Welborn <br />Mike Ward <br />Randy Allen <br />Paul McKee <br />Prepared by: Mike Ward IMI'l Date Estimate Prepared 7-3-13 <br />Accepted by: <br />S:VICommon\clerical\Co5Le5t\2012\ 4708 Dogwood <br />Representing <br />ESTIMATE GOOD FOR 6 MONTHS <br />t oft <br />