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PUDLIC WORKS DLPARTMENT <br /> Utilities Division,3200 Cedar Street <br /> �ET/ liverctt WA 98201 <br /> 425-257-8800 <br /> � <br /> Receipt 7t �p�7/ g Date I'aid �/ - � <br /> � CostoflVork Order 502.00 Work OrderH <br /> Cost of Scrvicc Ordcr Servitc Ordcr H <br /> Contact Pcrson Jolut NiUblcr '('elcphonc Jt 206-242-0555 <br /> Hequesled By Gordon Witchcr llale of Itequcsl 4-13-06 <br /> Propert}'v��'ncr(namc) Panattoni Dev. Co LLC <br /> Charge Cost lo(nante if differenl than owner) <br /> Addmss 1400 5'h Ave, Suite 810 City Portland OR Zip 97201 <br /> � <br /> Installation Location IndUst� St �-- <br /> insi��untion type/d�scri��iion/size/erc. 2=�expose main and connect to existing 8" stub after purity_ <br /> ❑ The following estimate is bascd u}?on thc Utilitics Division provi�ling all labor,equipment, <br /> matcrials, restoration,and final hook-up. <br /> I'lcasc notify thc City of f:verett Utilitics Division 10 workint�dovs in advance of requircd installation <br /> date lo allo���for scheduling and parts procurement <br /> 1Vhenever lhe eslim�led cosl is not sufficienl to cover Ihe lolal expense for labor,material,equipment mnlal and <br /> adminislrative cosls, the deficit shall be cliarged ta lhe properly (or �vhich such installation was made and tlie <br /> owner theroof, and pro��idcd furihcr, lhal any escess paymcnt shall bc re(urned lo lhc person applying for lhe <br /> installation. <br /> *Deposil nu�st be paid prior tu ordering paris or scheduling�vork. <br /> �v���La n�rTc�zs 3��nND L.1nc�a n�n��l�nvr n srx To �o ivccx r s�1D i�rn�c. <br /> cc: [31d�. Pcrmil Centcr <br /> i�iatcrial 113.00 �4ark Sadlcr <br /> Kirk 13rooks <br /> I.;ihor and 13cnefils 292.00 Cordon Witchcr <br /> I'yuipmcni kcnlal 88.00 RoUcrt Waddlc <br /> Mnit 11'clUorn <br /> fa� 9.00 Patd �4cK��e <br /> Gerr}'Crum <br /> ; 7Y)'1�:1L -- — $502.00_ Dennis Roberson <br /> ` � <br /> Pr.��;n�rJ h��: Gerry Cru����= Unic Gstim:rte Yrepnrcd 4-14-06 <br /> Acccplcd by: Rcprescnti:ig — <br /> „r�...,... ., .. ��.,......ir.�,�.�„��:�.,nar 4 of G <br />