Laserfiche WebLink
PU6GC VVORfS DGPARTt�iElv i <br /> Utilities Division,3200 Cedar Street <br /> Evemtt WA 98201 <br /> , • <br /> 425-257-8800 . <br /> P.eceipt # Date Pai� <br /> ✓ Cost of Work Order /�T/,/�� FVorF,Order# <br /> Cost of Service Order Sen�ice Order# <br /> Contact Person /�-��� s.�• ���(i�f Telephone# �i G���G�/`�7 <br /> Requested By �F�B/� ����� Date of Request �/�US <br /> Property Qwner(name) ���1/�� ���� v �GC <br /> Charge Cost ro(name if different than own2r) <br /> Address zG�/// 'uit�i2GH .�� -�ZGY� C�h' �✓�iif�/�/",�iy �/�' Z�P ��l <br /> Installation Location //?� �� FY�'J'�j���ZL ��, <br /> Installation type/descripNon/size/etc. �f���5%//ZG /�a'/�r -�'/z TE� �''��� l�f�G!/� �� <br /> /E" �lif: rvG�i./��,r.� <br /> � The follo�aing estimate is based upon the Utilities Division providing all labor,equipment, <br /> materiaLS,restoraHon,and final hook-up. <br /> Please notifV the Cit�of Everett Utilities Division 10 working davs in advance of required installation <br /> date to allow for schedulin� ind parts procurement <br /> Whenever the estimated cost is not su[ficient to cover the total expense [or labor,material,equipment rental and <br /> administrative custs, fhe deficil shall be cliarged to the propedy for which such installation was made and the <br /> owner thercof, and provided Eurtheq lhat any excess payment shall be retamed to the person applying for thc <br /> instatlation. <br /> 'Deposit must be paid prior to ordering parts or scheduling work. <br /> iNATER 1�IETERS 3"AIVD LARGER 1�fAY HAVE A SIX TO 10 [NEEK LEAD 'fIME. <br /> cc Bldg.Permit Center <br /> 5•UD Mark Sadler <br /> �4atcrial � Kirk BrooFs <br /> L�borand Benefits SS�d(� Gordon Witd�er <br /> Robcrt W�ddle <br /> L'quipmcnt Renlal ����i�� Matt�Nelborn <br /> 1,�* �� �� Paul McKee <br /> Geny Crum <br /> •�•p�•��� �v �5•� Alan Locke <br /> Prcpared b�: ���� L�/�`� Uate Estimate Prcpared ����� <br /> 1-�ccpicd b�: _ Represcnting <br /> I:ti'1'I\fA"fG GOOD FOR Cr n10NT11S <br /> , .� „_...,..�.,�_.,.�r,-,�.:��-i>v.,n�iine� ,�oC �� <br />