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f'u[auC Wo!a:s DEI't,xrn�-tv'r <br /> Utilities Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8300 <br /> • <br /> Aeceipt n Date Paid _ <br /> ✓ Cost of Work Order S//�. (%U Work Order� <br /> Cost of Service Order Service Order#,�~ . <br /> Contact Person ��� S�. �}e?`(�'� Telephone# �(i �y�1j5� <br /> Requested By �ffZ/� /yl����� Date of Request f-//-U S <br /> Property Qwner(narne) �,�j�j�T �Z�l� v GGC <br /> Charge Cost to(name if different than o�mer) <br /> Address GG�/// Su/�irlGFf .�-�'l -�T O C�h' NF'��f� �/� Z1P �/��� <br /> InstallationLocaHon //?� � ��7��/-/y//�TL 6Gs�/ <br /> Installation rype/descripNon/size/etc. �/ - � �/�T/.rJ� /Z " �•7�� //�ST�/`yL /!i�'-� <br /> �/y�Z�xiT <br /> ❑ The following estimate is based upon the UHlities Division providing all labor,equipment, <br /> materials,restoraHon,and f'v�al hook-up. <br /> Please notify the Citv of Everett UtiliHes Division 10�vorkinQ davs in advance of required insiallaiion <br /> date tu allow for schedulinQ and parts procurement <br /> Whenever tl�e estimated cost is not suffitient to cover the total expense for labor,material,equipment rental and <br /> administrafive msts, the deficit shall be charged !o the property for whidi such installation was made and the <br /> owner thereof, and provided fudher, that any excess payment shall be relvrned to the person a�plying for the <br /> installation. <br /> `Deposit must be paid prior to ordering parts or scheduling�vork. <br /> - i1�9TER METERS 3"AiVD LARGER 1�I11YHAVE A SIY TO 10 [NEEK LEAD TIA�IE. <br /> cr. Bldg.Permit Center <br /> bSaterial ��,�'Q,GD Mark Sadler <br /> i — I'vrk Brools <br /> i <br /> � l.;:hor and Benefits Z��GlI Gordon Witcher <br /> / �/� RoUert Waddle <br /> 1{��;uipment Rental lG-�7'�U b4att Welbom <br /> j;.,; ���G-U Paul r4cKee <br /> Gerry Crum <br /> I'O I�:�L -����• D(� Alan Locke <br /> // r <br /> Pr�n:,rcd by: ( ;2:71/� G��i>l Date Estimate Prepared _ /�/--G� <br /> � <br /> :lcccpted by: _ Representine <br /> i�:STI�G�TG COOD FOR 6 1f0\TIIS <br /> i <br /> 5 �.,-.,,.,��.��.a�c.�:�a���[s>utei�N.� �ol �J <br /> —�- <br />