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Receipt # `�SiJG� <br />✓ Cost oE Wurk Order <br />Cost of Service Order <br />Pwuc Woats Deenxrn,iFxr <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />475-257-8800 <br />• <br />r� <br />S���r �i� <br />,,�Y� <br />`-�, ,.� _/, <br />v� af aid 7 22 (J� <br />v. ` > <br />Wd t� <br />�� Iu� <br />Service Order � .,:. <br />Contact Peron � , -- s. �. �CliYf� Telephon # �(r �5�lpl/S7% <br />Requested By �F/1!� /y%�1�� Date oE Request �//—US <br />Property (Twner (n.vne) �j� ST �i/�l� v GGG <br />Charge Cost to (name if diEferenf than ocvner) _ <br />Address zG�/// Sc/i �i�H .�GI ��OV City ���{j�rj" �CfJ �fi Z�P li�/� <br />InstzllaHon[,ocation //?,� �� ��71�!%/IJ/%�IL 6fi�%`/ <br />InsrllaHon type/descripHon/size/etc. �/ — %%j� �X/S77,CJ1� /Z " �.(%� /%��%%iT2 /�'� <br />�/Y �� <br />� The following estimate is based upon the UHliries Division providing all labor, eyuipment, <br />materials, restoraHon, arn1 final hook-up. <br />Please notif�thc City of Everet` LJtiliHes Division 10 �vorking daYs in advance of required installation <br />date to allow for schedulinr, and parts Qrocurement <br />N'henevcr thc estimated mst is not su�`ficicnt to cover the toWi expense for laboq material, equipment rental and <br />administrative costs, [he deficit shall be charged to the pmperty for tivhich such insiallation �vas made and the <br />o}cncr thr.reof, and provided furthcr, that any excess paymrnt shall bc retumed to the person applying for the <br />installation. <br />*Depasit must be paid prior to ordering parts or sche3uling work. <br />i1'r1TER METERS 3" AND LARGER MAYHAVE A SIX TO 10 YVEEK LEAD TIME. <br />Pfatcrial <br />Lsbor and Renefits <br />Gyuipmcnt Rentaf <br />Tas <br />��o�r,�r, <br />��lG'O�Gd <br />Z.Sa��GD <br />�.�o� <br />B�'� UD <br />S//D, od <br />cc BIdg.PemiitCenter <br />Mark Sadler <br />Kirk Drools <br />Gordon �Nitcher <br />�oUert Waddle <br />Matt Welbom <br />Paul McKee <br />Gerry Crum <br />Alan Locke <br />Prep:ired b}'. � U /�`/ Date Estimate Preparcd �/y �� <br />Acccptcd b Repmsenting 5• u• U L�4ew�.� <br />GST[11ATG GOOD rOR 6 M1iONTHS <br />!Cc nmw dm:al Cc:l rn'C(:;'.I.l V l I'a-✓' <br />