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PUii�Ir INORFS DEPARTAIL'NT <br /> Utilitics Division,3200 Cedar Strccl <br /> tv Iiveret[�NA 98207 <br /> 425-257-8800 <br /> � o <br /> R��ccipl ;t � � ' �`' ' � r Dalc Paid <br /> _ J �f`�� <br /> Cost of 1Nork Ordcr '' ���� V � � � Work Order# . <br /> �J1 <br /> ✓ Cost of Service Order �QO_ ��Service Order#I _ <br /> �� Z�06 Tele hone# 425 353-5309 <br /> C'nntact Person I<aren Anderson-13ittenbendcr p _ <br /> , i=1 T y c llatc of Rci uest 5-11-06 <br /> Kcqucsted Ry I aid n1d<cc :,,,.,c��n ��n F�ERETT � -- <br /> 0 uolic Servi <br /> Properl��Owner(name) HouSing Hope ces <br /> Ch�vge Cost to(ramc if differed than owner) _ <br /> :�ddress 5830 Ever�reen Waa Ciry Everett WA 'Lip 98203 <br /> !nslall�tio,. Location 2507 HoWB�d AvP, #A (nofth) _ <br /> Ins6�llaliun type/duscriptiun/siu/etc �t1-4" fi�e seNice With 3" DCDA In vaUlt. City to hot tdp and <br /> install DCDA in developer supplied, installed and piped through vault. City to make final _ <br /> connection after testing and purity. Piping to be 4". Vault to be Utilities 575-LA with 57-TL-2-332P <br /> lid set to grade. Developer to saw cut. Expose shore, restore. _ <br /> ❑ 'i'he foliowinZ; estimale is based upon the Ulilities Division providing ali]aUor,equipmenl, I <br /> materials, resloralion, and final hoc:c-up. <br /> Pleasc notify the Cit�;of liverett Ulilitics Division 10�vorkin� davs in advance of reqaired installation <br /> date to �Ilow for schedulin�and narls procurement <br /> Whenever the estimated cost is not sufFicient to cover the total expense for labor,material,equipment mntal and <br /> administrative costs, the deficit shall be charged to lhe property for which such inslallatian was made and the <br /> o�vncr thereof, and providcd further, that any exccss payment shall be returned to the person applying for the <br /> inst,Ilalion. <br /> "Ucposit mus[ bc paid prior lo nrdcring parts or schcduling work. <br /> WATER A7C"I'ER� 3" �'VD LARGER MAY HAVE A SIX TO 10 WEEK LEAD TINIE. <br /> cc I31dg.Pcrmit Ccntcr <br /> �I�itrrial 2,412.00 Nlark Sadlcr <br /> Kirk 3rooks <br /> Labor and 13enefi�s 1,823.00 Gorden lNikher <br /> liquipmcnt RcnLil 580.00 Robert�Naddle <br /> �9att Welborn <br /> �';�� 84.00 Paul h1cK�� <br /> 4,899.00 Gerq�Crum <br /> T'()'I'A L ---._ Ucnnis P.obcrsun <br /> � ��� <br /> Prcp;ucJ by: Gerr�Crum atc Estima�c Prcparcd 5=i2-06 _ <br /> �lcccpted b��: Iicpr��senting _ <br /> t�S'TIMATF. GOOD FOR(, �IONTIIP ��" <br /> i ,�. ,. ,..,._�.��..�, ,. , � �.,�u�,�..nni I u� - <br /> iPt•`' �'�� -____- <br />