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� `j � PU6LIC WORKS DEPARTMHNT <br /> Ulilities Divieinn,3200 Cedar Street <br /> Evemtt WA 98201 <br /> 425-257-SSOD <br /> • <br /> Receipt fl �d���<� llale I'aid s/'�� <br /> ✓ Cost o(Work Orcfer 629.00 Work Orderl� <br /> Cosl of Service Order Service Order k <br /> Cuntact Person Jolin Nibbler Telerlione H Z06-2�38-0555 <br /> Requested By Gordon LNitcher Date of Keques� 4-13-06 <br /> Properly Owncr(name) Panattotti Dev. Co LLC <br /> Chnrge Cost to(name if di(fercnt Uian otivner) <br /> nddmss 1400 5°i Ave, Suite 810 City Portland OR Zip 97201 <br /> Installation Location 1310 IndUstr/ St, dg F <br /> i " <br /> Installatim� typz/descripuon/siu/etc #1- expose main and connect to existing 8" stub after purit�_ <br /> ❑ 7'hc follotvin�eslimatc is based upon the Ulilitics Division providing all IaUor, equipmcnt, ---- <br /> materials, resloraliun, an�l final hook-up. <br /> Pleasc notify thc City uf L'verett Ulilitics Division ]0 woricing days in �dvince of reqaired installation <br /> clatc lo allow for sclicduling and parts procurement <br /> Whenever Ihe eslimaled cost is not sufficient lo cover fhe lotal expense(or labor,material,equi�nnenl rental and <br /> adminislralive cosls, the deficit shall be charged lo lhe properly (or whicl� such installation was ntade and lhe <br /> uwncr thcreof, and providcd Curihcr, llial any ezcess paymenl shall bc rclurned to thc f�erson applying for lhc <br /> installation. <br /> *Deposil musl bc paid prior lo mdering parls or scheduling work. <br /> iNATER A�IFT!'RS 3"�IND LARGF.R A�fAI'HAVE.A SIX TO 10 WEEK LEAD TIME. <br /> cc 121dg.PcrmitCenlcr <br /> Malcrial 238.00 A'fark Sadler <br /> Kirk [3rooks <br /> Lnbor ancl �3��tclils 29.�..00 Gordon 1Nildmr <br /> l:i�uipment Rcntal 88.00 Roberl Waddle <br /> �1alt 11�ciburn <br /> '1'a� 91A0 Pa�d Mchee <br /> 'f0'1':1L — $629.00 Gcrr}'Crum <br /> — -- Drnnis Roberson <br /> ! <br /> � . <br /> � ; <br /> Ih�cparcd by: Ge�r�f�� ,rt�=��/�-�=D:r�c Gstim;uc Prcpnrcd 4-14-06 <br /> Accepted b�: _ Represrming <br /> GS'PIDL�T� GOOU I�OR 6 P10NTIiS <br /> , .��,,.,__�.._,i.�.�„r.,�,,. .„ir.o�.i� � of 6 <br />