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� <br /> � /23/20i 5 i���,i��� ����s co��r <br /> N��..z�t.r��la'or.i:s lle�.�FTNeral� <br /> litili!ies I)ivision, 3200Ce�1ar5Crert <br /> Ev l:ver�•t11V':1 95'_Ol <br /> �LS-?�i-SF00 <br /> � � � <br /> �. <br /> I:eceipt . _ . ._. _ Date Paiil 2 � ���� — <br /> --- I � <br /> Cost ei tV'orF:(_�r�ler [�brk Order� .�.�15 ` ����,� <br /> X Cost o[Service Order 51,902.00 Service Order„ 5G �� 3 `'/ � 1__ <br /> Cmitact Person Joe Goldfinch Telephone = 429-231-6018 _ <br /> -- --'-- -----D�eof-R� uc�C-1119I15 - --._ <br /> Reyuested By Joe Goldfinch _ y ' -- <br /> Properh�Owner (name) _ GoldfinCh Brothe�5 . <br /> Charge Cost to (�ame if ditfrrent than o�+ner) _—_ <br /> :lddress 10910 Holly Dc City Everett _ 7_ip _98204 <br /> Installation Location 10910 Holly D�. _ __-- <br /> I�,stallat;an e.�pe/description/size/etc Six inch on 8 inch tap and change meter on contractor <br /> installed DCDA. <br /> ❑ "rhe folloc+�ing estimate is Uased upon the Utilities Division providulg all labor, equipmNnt, <br /> materials,restoration,and Euial hook-up. <br /> P(ease notifv the City of Lverett Utilitics Di��ision 10 workin�davs in adv�nce of recluirecl installati��n_ <br /> clate to allotic for schedulin��n�arts��rocurement <br /> 149iene��er the eslimated cos't i� not sidficient to cocer the total expense for laUor, malerial, equipment rental and <br /> administrati��e costs, the deficit shall be charged to the property for «hich such installation �vas made and th�� <br /> o�encr thercof, and provided furthcr, thal any escess pa}'ment shall bc relurned to Hic per�un appl}'in� tnr l�ic <br /> installation. <br /> 'Deposit must be paid prior to urderino parts or schedu(ing t+ork. <br /> "�tust haee valid Public�1'm'ks Pertnit before work can be performed. � <br /> LVA"I�ER NIF,TE2S 3"AND LARGER AIAY I�A VE A SI� TO 10 WF,IJ( LI:AU_II�11I:'. , <br /> — cc l3ldg. Prnnit Ccnl�.r � <br /> \latcrial $1.186.00 �1ark Sadlcr �'"� <br /> Labor:�nd Bcncfits 458.00 Cordon 11'it�h��r ��' <br /> --- �fatt 4Velhorn � <br /> I�quipmcnt Itcntal 225.00 �likc 4Vard „,a <br /> 1',i� 33.00 R,�ndy Allen . <br /> -- ----- t�,n�l �.1chu�� � <br /> Restoration __ � <br /> 'rp"p;�l, $1,902.00 <br /> r�� � <br /> Prcpared by: Mike Ward `I,�-�__ Date Estin�:nc �'�cp:�rcd 01123115 ___ ;� <br /> r- <br /> Acceptedby: � i,,,� _! � � �„�_ Repres�nting -_ --_--- � <br /> ; ,� L <br /> � rsT��i��Tr. coou ro�i r, n�o�•rns � <br /> C",('rnnr.,ii.J�:�ia.i�Cn.I cca�nL1'.IPn10 ilo!I��C'r. <br /> 7 ..I i <br /> .. �. . _ , ... .. . .. ,. . . . ., . -.. , . . — . . . .w <br /> . . '.��. . . _ ..-; . � . «.». <br /> . __ ,....:,._�..... .. .. , :�_ ,..�. ,...« '-,,. ..y.,,,.swn <br /> _ ..,.. ._ . _ . _ . - -- ' ' .,.......,.. �.....a..."""C"eliv�u <br />