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�^ � � <br /> PUBUCWORKSDEPARThiFNI' U��.��� (>G�IL��U�-�'�'�� <br /> � Jtilitles Division,3200 Cedar Steet / � <br /> I ' <br /> Everett WA 98201 ��'� <br /> 425-257-8800 / �1 Q <br /> ; � ��,. � <br /> �eceipt N ��_ : Date Pai 2 � <br /> ✓ Cost of Work 01�1er 1,569.00 Work Order# <br /> � <br /> Cost of Service Order Service Order# <br /> ConWct Person Walt Kjorsvik Telephone N 206-406-1213 <br /> Requested By Gordon Witcher Date of Request 4-12•�J5 <br /> Property Owner(name) SE 3 LLC <br /> Charge Cost to(name if different than owner) <br /> Address 2610 Wetmore Avz City Everett Zip 98201 <br /> Installation Locallon 1021 SE Everett Mall Way <br /> Installation type/description/size/etc. Connect to existing 8". Expose biow off and remove, install <br /> 8 x 4 reducer and 4" gate valve. Make final connecfion after purity. <br /> ❑ Tlte following estimate is based upnn the Utilities Division providing a111aUor, equipment, <br /> materials,restoration,and final hook-up. <br /> Please notify the City of Everett Utilities Division 10�vorking days in advance of renuired installation <br /> date to allo�v for scheduling and parts procurement <br /> �Nhenever the estimated cost is not sufficient to cover the tota] expense for laUor,material,equipment rental and <br /> administraHve costs, tlie deficit shall be charged to the property for tivhich such installation tivas made and the <br /> owner thcreof, and pmvideil further, tl�at any excess payment shall be returned lo khe person applying for the <br /> installation. <br /> "Deposit nmst Ue paid prior to ordering parts or scheduling work. <br /> WATER METERS 3"AND LARGER 1�IAY HAVE A SIX TO 10 WEEK LF_AD TIME. <br /> cc Dldg.Permit Center <br /> I.faterial 448.00 Mark Sadler <br /> Kirk Drooks <br /> Labor and Benefits 836.Q0 Gordon Witcher <br /> Equipment Rental 258.00 Robert Waddle <br /> Matt 4Velbom <br /> 'r;s 27.00 Paul r4cKec . <br /> TOT:1S. $1,569.00 Gerry Crum <br /> G ' <br /> Prcp;�rcd by: _ Ger Crum ������--Bate Lstimate Prepared 5-4-05 <br /> Accepted by: � Representing <br /> ESTID1ATIs GOOD �OR 6 RtONTIiS <br /> s�<c.����„�,:���:�ir.,�...,_�it�i;�m,���ooc I of 1 <br />