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, � PU6LIC INORKS DHPARTAfLM <br /> Utilities Division,3200 Cedar SUeei <br /> Gverett WA 913201 <br /> �}25-257-SSCO <br /> • <br /> Receipt tf ��v Date Paid �/��� <br /> ✓ Costof4Vork Ordcr 629.00 Work Order# <br /> Cost of Service Order Servim Order# <br /> Contact Person Jolm NiUUler Telephone H 2O6-248-0555 <br /> Requcsled By Gordon Witcher Dale nf Rec�uest 4-13-06 _ <br /> Properly Owncr(n,unc) _ Panattoni Dev. Co LLC _ <br /> Chnrge Cost to (name il different lhan owner) <br /> Address 1400 5'h Ave, Suite 810 �City Portland OR Zip _ 97201 <br /> Instnllntion Location 1310 Indust St, Bldg F; <br /> inst,llation type/description/s;�c/etc. #1-B zpose mairz and conneci to existing 8" stub after purity. <br /> ❑ 1'hc fnllowing estimate is based upon Uie Utilities Division providing�ll labor,equipment, <br /> matcrinls, restoralion, nnd [inal hook-up. <br /> Plcase notify lhe Cit}�of Gverett Utililics Division 10 tivorking days in advance of required installation <br /> date to allow for scheduling and parts procurement <br /> �Vhenever lhe estimated cost is not sufficient to cover the tofal expense for labor,material,equipment rental and <br /> adminisl�:itive costs, the deficit sh�ll oe charged lo the property for which such installation was made and ihe <br /> orvner thcrcof, and provided furlher, Ih�t any excess payment shall be returned to the person applyin�, for the <br /> inslallation. <br /> *Dcposit must bc paicl prior to ordcring parts or scheduling tivork. <br /> WATER A9ETFRS 3"AND LARCER MAY I-IAVE A SIX TO 10 LVEEK LEAD TIME. <br />� cc: UIdg.PermitCenter <br /> �9aicrial 238.00 A1ar4;Sadler <br /> Kirk 13rooks <br /> L:�borand Rcnclits 292.00 Gordon Witchcr <br /> I�quipmen! Rental 88.00 Robert Waddle <br /> Mat[�Velborn <br /> �';�� 11.00 Paul�9cKcc <br /> Ccrry Crnm <br /> 1'Ol':V. $629A0 _ pennis Robcrson <br /> � . <br /> Prcparcd by: Gerry Crurt�����' y� �Dalc L•stimatc Prcparcd 4-14-06 <br /> \cccp!cd bt�: _ Rcpresen�ing <br /> I:STI�L�TG COOD FOR ( INON'I'tIS <br /> ��.�.,�,�m�..,.�v.nr,�„��rPn��m�:uUoUaC �OC G <br />