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PU�LIC WORFS DEPART�IFM <br /> Utilities Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8800 - " <br /> Receipt # Date Paid <br /> Cost of Work Order Work O�derN <br /> ✓ Cost of Service Order 3,043.00 Service Order# <br /> Contact Person Adam CIBrk Telephone N 425 252-2153 <br /> Renuested [3y Paul McKee Date of Request 5-10-05 <br /> Property Owner(name) Immanuel Lutheran Chu�ch <br /> Charge Cost to(nane if diffemnt than owner) _ <br /> Address 2521 Lombard Ave City Everett 7_ip 98201 <br /> Installalion Localion 2521 Lontbard <br /> Installation type/description/size/elc #2 -4" fire service w/DCDA inside. Expose main in Lombard, <br /> install tapping sleeve and controi valve, make hot tap. Trench/run 20' (±) DI pipe to pro;: line. <br /> Make final connection. Install detect meter and remote reader when ready. <br /> ❑ 'I'he fullowing esHmate is Uased upon the Utilities Division providing all labor,equipme:�t, <br /> materials, restoraHon, and final hook-up. <br /> Plcase notify the Cilv of tiverelt Utilities Uivision 10 workin�davs in advance of required installation <br /> dale to allow for scheduline anc� parts procurement <br /> 4Vhenever the estimated cost is not suffecient to cover the tolal expense for labor,material,equipment rental and <br /> ❑dmi��istralive costs, the de(icit shall be chuged to the property for which such installalion was madc- and the <br /> o�vner thereoC, and provided furthcr, lhat any excess payment shall bc rchuned to !he person applying for the <br /> installation. <br /> *lleposit must Ue paid prior to ordering parts or scheduling�vork. <br /> WATF.R M�TI'RS 3"AND LARCER MAl'I-(A VE A SI,I' TO 10 WEGK LEAD TINIE. <br /> cc Bldg. Permit Center <br /> \la�crinl 669.00 hlark Sadler <br /> --- Kirk I3rooks <br /> Ltib;�r and Benef its 1742.00 Gordon�Vitdier <br /> I�.i ui�mcn� Rcn�al 580.00 RoLert lNad�Uc <br /> I I �fatt 1\'elborn <br /> r.0 52.00 �'aia n�cxcc <br /> 1'O'P:11, $3,043.00 Gcrr)'Crum <br /> Prr��:irr�l h�: Gerr Crum � �� � � e listimate Prepared 5-10-OS <br /> \r�cpir�Ilic. Representing - <br /> �STIINATI: COOD FOR( i�lONT115 <br /> U_� � �_ _,� . _ �,,,� _° .�F_'__ �lt� <br />