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CZ016) Z5 3 7 10kfti S(Po/ <br />PUBLIC WORKS DEPARTISENT <br />Utilities Division, 3200 Cedar Street <br />4W7-r Everett WA 98201 <br />425-257-8800 <br />(WORM mffll�� <br />Receipt # 19-%3 960 <br />x Cost of Work Order $3776.00 <br />Cost of Service Order <br />Contact Person Jay Duffy <br />Requested By George Hanson <br />Property Owner (name) JJMD2 <br />Charge Cost to (name if different than owner) <br />Work Order# <br />-6etuieeAr3�r# <br />Telephone # <br />Date of Request <br />Address 9394 Old Hwv 99 N. Rd. City: Burlington, WA Zip 98233 <br />Installation Location 1205 SE Everett Mall Way <br />histallation type/description/size/etc. 8" on 8" tap and connection after pressure & purity test. <br />Contractor to excavate, shore and restore. #2 <br />Fj The following estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoration, and final hook-up. <br />Please notify he Qj of Everett Utilities Division 10 working days in advance of required installation <br />date to allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property for which such installation was made and the <br />owner thereof, and provided farther, that any excess 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 />WATER. METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />TOTAL <br />2315.00 <br />871.00 <br />525.00 <br />65.00 <br />$3776.00 <br />cc: B1dg.PermitCenter <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witcher <br />Matt Welborn <br />Mike Ward <br />Cliff Lindman <br />Randy Allen <br />Prepared by: Mike Ward 1W Date Estimate Prepared <br />Accepted by: 06/10/10 Representing <br />ESTIMATE GOOD FOR 6 MONTHS <br />S:C#Common\clerical\Costest\2010\1205 SE Everett Mall Way.DOC 1 of 1 <br />