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" . PUBUCWORKSDEPAftTM1fE �` '��(���IJ� �I <br /> UHIiHes�ivision,3200 Cedar �� � V U <br /> � Everett WA 98201 <br /> 425-257-8800 � <br /> MAY 12 2005 <br /> .............. � <br /> Receipt # �ITY Of����TT ��/ ' ' �Z <br /> Cost of 4Vork Order _ JA S�5 E091°e�1�o�rk Order#V�cs <br /> ✓ Cost of Servim Order 3,043.00 ��� ��� Service Order# <br /> ���D/� <br /> Contact Person Adam Clark Telephone k 425 252-2153 <br /> Requested Dy Paul MeKee Date of Request 5-10•05 <br /> Property Owner(name) IntmanUel Luthe�an Chu�ch <br /> Charge Cost to(name if ciifferent than owner) <br /> Address 2521 Lombard Ave City Everett "Lip 98201 <br /> Inst�l!ationLocation 2521 L�.nbard <br /> Installation rype/description/sire/etc. #2—4" fire service wIDCDA inside. Expose main in Lombard, <br /> install tapping sleeve and control valve, make hot tap. Trench/run 20' (±) DI pipe to prop line. <br /> Make final connection. Install detect meter and remote reader when ready. <br /> ❑ The tollocving estimale is Uased upon the Utilities Division providing all labor, equipment, <br /> materials, restoration, and final hook-up. <br /> Plcasc nolify thc CiIY of Lverett Utilities Division 10�vorkin� days in advance of required installation <br /> date to allow for scheduling and parts procurement <br /> Whenever the esti»ated mst is not sufficient lo cover tlie total expense;or fabor,inaterial,equipmenl rental and <br /> adminislrative costs, Uie deficit shall be charged to the properly for tvhich sud� installalion was made and the <br /> owner thcrcof, and provided furthcr, that any excess pa}'�»ent shall bc returned to lhc person applying (or lhe <br /> installation. <br /> *Deposit must bc paid prior to ordering parts or scheduling work. <br /> WATER METERS 3"AND LARGER MAYHAVE A SIX 7'O 10 WEEK LEAD Tlnl�. <br /> cc: 131dg. PermitCenter <br /> �lalcrial 669.G0 �larlc Sadler <br /> — Kirk 13rooks <br /> Labor ancl 13cncfits 1742.00 Gordon Witchcr <br /> G ui �mcnt Rent.il 580.00 Robert FVadd!e <br /> � I — — I�fatt�Velbarn <br /> 7'ax 52.00 Paul I�icKec <br /> 7't)'I':\I. $3,043.00 V��'�7'Gum <br /> i f <br /> i �i� <br /> PrcpnreJ l�y: Gerr Cru c L'•stimatc Prcpared 5-10-05 <br /> Acecpted by: Representing <br /> GST1111ATF. GOOU �OR C, A10NTIIS <br /> _ ��.�,.��..�. . .�,�i�-...;��i.:�:i i o:��n.�a o:,i � � � � � � ���� /1 <br /> �� <br />