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Receipt S / �SIU`� <br />� Cost of Work Order <br />Cost of Secvice Order <br />Puauc WORxs DarnxrrRxr <br />Utilities Division, 3200 Cedaz Strzet <br />Everett WA 98201 <br />425-257-8800 <br />• <br />��-�,�.ov <br />,a�� <br />i� <br />� <br />'�����R �22-�zS <br />Work Ordhrj:. <br />Serv;ce Order # <br />Contact Person �(/F-- J� �• �CU%� Telephone # �'j,/i �5� /O�� <br />Requested By �f�Zll /%%�:�� Date of Request �// US <br />Property Owner (name) ,°=.'+��i�''T ��1� %� GGG <br />Charge Cost to (name if different than owner) <br />Address 7o�i�� Su/�i�iF �-�ZIJD C�h' �/�./�,E'�i?.�Lfi �fi Z'P ��O <br />Installation LocaHan //�j �� �1+1j�f%�L �� �..,� — <br />InstallaHon type/descripHon/size/etc. �.� ' /Z �� �'viU�%IU.0 G�� �� �'v'� v�� <br />11ie following estimate is Uased upon flze UHlities Division providing all laUor, equipment, <br />materials, restoraHon, and final hook-up. <br />Please notify th� Citv oE Everett Utilities Division 10 tivorking davs in advance of required insWllaticn <br />date to allo�v for schedulin� and parts procurement <br />Whenever the estimated cast is not sufficient to cover the tatal expense for labor, material, equipment ren�il and <br />administrative mstr, the deficit shall be charged to the property Eor which such installation was made and the <br />ozvner thereof, and pcovided further, lhat any excess payment shall be returned to the person applying for the <br />installation. <br />'Ueposit must be paid orior to ordering pazts or scheduling work. <br />f1'.1Tf P. ��ILTEP.S ;" ' NI) I.-t PGFP. t�fAYHriVE A SIX TO 10 W�EK LEAD TI�l1E. <br />�<<:i <br />�� r-or and I3cn�;fits <br />13quipntent Rental <br />Tax <br />TOT�L <br />; `i �S"av <br />--- - _ __v. �f, a� <br />,5/�- UD <br />8'� �U <br />cc Bldg. PermitCenter <br />Mark Sadler <br />x;rk s�oo� <br />Gocdon Witcher <br />Robert 6Vaddle <br />Matt Welbum <br />Paul D4cKee <br />Gerry Crum <br />Alan Locke <br />Prepared b: �2C%'� /�'t Date Estimate Prepared /y G� <br />Accepted b� Represcntin; S� 4-�� ' <br />C���, <br />rsTm►nTr coon roa 6 n�oNT�is <br />; <br />-� „i �-� _- <br />,�,n�.�,�.�,�......_. .. �,....�. <br />