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[tm[1C WoaKs D�[�n[l.rt�rrr <br /> Utilities Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8800 <br /> • . <br /> Receipt # Dafe PaTd <br /> ,;' Cost o[Work Ordcr _ � / ,l/G Work Orde[�-'• <br /> Cost of Service Order Service Order# <br /> Contact Person ��� �j�. �LG� Telephone# %��i �S�/G//5 y <br /> Requested 6y �ifZj� /f/�1�� Date of Requcst �—//—li'S <br /> Property Owner(name) �j�1/ST f�f� � GGG <br /> Charge Cost to(name if different than owner) <br /> Address 20;�// 'u/G�i/IGH � -�7�J0 C�tS' ���f�iL'`l�.S�fI �l� Z�P ��/ <br /> InstallaHon Location //� � Q�b1�T/�///l"iL l�i�`� <br /> Installa6on type/descripHon/size/etc. LEIC'lf ic Z 'E/Z!�//_G—"S /��L ��'U� /f,�� <br /> i1i/C / �Ld'Ali)d//, <br /> � Tlte following estimate is based upon tlte UtiliHes Division providing all tabor,equipment, <br /> materials, restoraHon,and final hook-up. <br /> Please notifKthe City of Everett Utilities Division 10 wod;�ag days in advance of required installation <br /> date to allow for scheduling and parts nrocurement <br /> Whenever the estimated cost is not sufficient to cover the total ex�ense for laboq material,equipment rental and <br /> administrative costs, the deficit shall be charged to the propedy for which such installation was made and the <br /> owner thereof, and provided further, tl�at any escess payment shall be returned to the person applying for the <br /> installation. <br /> *Deposit must be paid prior to ordering parts or scheduling work. <br /> W.9TER METERS 3"AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TI�YfE. <br /> cc: Bldg.Pemiit Center <br /> � Mark Sad ler <br /> Material .��G•l D [��k Brouls <br /> Labor and Benefi[s /�/.�G'li Gordon Witcher <br /> —' [Zobert Waddle <br /> Gquipment Rental ����GU Matt Welborn <br /> Tax ��'•GU Paul Nicl�ee <br /> Gem Crum <br /> TO'I'AL lt`/.i G'D Alan Lockc <br /> Pr�par�il bY: ���� Gll�/�'� Datc Cstimate Prepared �Iy G� <br /> Acccptrd by: Represcnting <br /> ESTIAI:�Th;CO011 POR fi VIOtVT[i5 <br /> i <br /> � u..._,n.,���_.Il:r.tr.l'CLtiVISINI1Nx' _f ._(l� �� <br />