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PUI3CIC WORKS DEPAR'[1�iFNf <br /> Utilities Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-88.�0 � . <br /> � , -z. <br /> Receipt # ` Date Laid <br /> � Cost oE Work Order ���'�U �Vork Order�;_ <br /> Cost of Service Order Service Order rc <br /> Contact Person �(/��- s.�. ( iLGrf� "i'elephone� ��i CS�/G�/`�'� <br /> Requested By �FfZI� /y��l�Cc Date of Request �//l>S <br /> Property Owner(name) ` i�� ��L� ` GGG <br /> Charge Cost to(name if different than owner) <br /> Address ZG�/// SWC.O.GFf �.-�'f �7'V C<<Y �/,�'ifl�.C'`lf��i�/ �f� Z�P '�/�i <br /> Installation LocaHon //� � �Z�—/fl/fZL 6(�fl� <br /> Installation type/descripHon/size/etc. �S` /Z �� GO�iUCZT/U�!/ G!//� ��i�.� ��L�' <br /> � 1he following estimate is based upon dte UHliHes Division providing all labur,equipment, <br /> materials,restoration,and final hook-up. <br /> Please notiry the Citv of Everett Utilities Division 10 workinQ davs ir advance of required installatir,n <br /> date to �ilow for scheduling and parts procurement <br /> Whenev?r the estimated wst is not sufficient to cover the total expense Eor laboq material,equipment mnWl and <br /> administrative costs, the deEcit shall be charged to the Fropecty 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 ar scheduling work. <br /> WATER NIETERS 3"AND LARGE.R 1tiLAY H11VE A SIY TO 10 4VEEK LEAF� TI��IE. <br /> cc. BId�. PermitCenter <br /> �' titark Sadler <br /> �latcrial ��Z��U Kirk Brools <br /> Labor and Benefits 2�-G� Gordon 4Vitcher <br /> RoL ert 4Vaddle <br /> Equipment Rental S�IG'• G'U ;�[att Welbom <br /> Tax �` � G'U Paul h(cKee <br /> — Gem Crum <br /> TO"CAL SJ�(�•�� :\lan Locke <br /> Prcp:�r�d b}- (."6�1% L�/n D�te Es[imate Prepared �/�G� <br /> � <br /> Acccpt��d by: Represen[in� <br /> I�:STi�I:\TU: COOD FnR fi �IONTHti <br /> �.,n�....�. i� � of �� <br /> .. ..�,_,,...,.._..ir.,.�,. .... -- - <br />