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Receipt # _ <br />X <br />Contact Person <br />Requested Uy <br />� <br />� <br />Cost of W ot k Order <br />Cost of Service Order <br />Gordon Witcher <br />PUBLIC WORKS DEPARTMENT <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />425-257-8800 <br />Property O���ner (name) T�aCB 8 AsSocieteS <br />Charge Cost to (name if dif(erent than owner) <br />552.P0 <br />Date Paid �� -fl - (�S <br />f <br />�Nork OrderN <br />Service Order N <br />Telephone N <br />Datc of Request 9121/2005 <br />Address 1605 N.W. Sammamish Rd #107 Ciry Issaquah, WA 7_ip 98027 <br />Installation Lecation 7405 H8�de3on Road Bldg A <br />Installalion type/description/size/etc. #2 - 6" fi�e S0N(Ce, DCDA in building A. Install detect meter. <br />Noti Jim Rice at 425-257-8952 when ready. <br />❑ Thc following esti�natc is based upon die UN1iHes Division providing all laUor, equipment, <br />matcrials, restoralion, and final hook-up. <br />Pleasc notif}� thc Cit�of Gvcrett Utilitics Division 70 working davs in advance of required installation <br />date to allotiv for scheduling and parts procure�nent <br />Whenever tlie estimated cost is nol sufficient to cover the total expense for labor, material, equipment rental and <br />administralive costs, the deficit shall be charged to the property for which such installation was made and the <br />owncr llicreof, and pravided further, that any excess payment shall Ue retumed lo the persot: applying Eor the <br />insWllation. <br />"Deposit must be paid prior to ordcring parts or scheduling work. <br />WATER A�ETERS 3" AND LARGER MAY HA VE A SIX TO 10 WEEK LEAD TIME. <br />Matcrial <br />Labor and Bcnefits <br />l�quipmcnt Rcntal <br />Tas <br />TOT:1I. <br />Prepnrcd by: <br />Accttpted by <br />378.00 <br />140.00 <br />24.00 <br />10.00 <br />552.00 <br />Gerr ,C�um -� Datc �stimate Prepared <br />� �— Rcpr�senting <br />F:ST1117A1'F. GOOD FOR 6 MONTHS <br />SaCmu�.ion Jri unl 1'. �n nP'Jp� Ilai�u.,n No�J IIIJB � DUC <br />cc: Bldg. Pcrmit Cenlcr <br />Mark Sadler <br />Kirk liroaks <br />Gordon Witchcr <br />RoUcrt Waddlc <br />�9att Welborn <br />Paul I�IcKce <br />Gerry Crum <br />Dennis Robcrson <br />9/23/2005 <br />2 of_ 3 i'% <br />