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Iteccipt � _ <br />X <br />Contact Person <br />Requested I3y <br />G� _....�_� l:acrMt lVA 98Z01" <br />� <br />� 4?i257-L�800 <br />Cost of \Vork Order <br />Cost of Scrvice Order $767.00 <br />Allen Campbell _ <br />Allen Cam <br />Properlt• O�.•ncr (name) Atcord Investments LLC <br />Charge Cost tu (namc if different Uian o��•ner) _ <br />:lddress <br />Inslallalion Locatiun 2620 <br />]nstallalian t�'pe/description/sizr/eli. <br />Ave. <br />City <br />���-'7� �- `-�' `� <br />DaL• <br />�VotkOrcler:; .�[ii�i L: ��t� <br />Scrvice Order ri <br />Telephone « 425-359-0716 <br />Date of Request 1/5115 <br />7_ip <br />inch ta�+ for fire service. Contractor to make connection <br />to valve due to non-standard size i�e. — <br />e-mail: allencampbell52@gmail.com _ — <br />�_�`-,�� /-y.�-/S ---- <br />i� The follo��•in�; estunatc is Uased upon 1hc litili6es Division pro��iding all labor, eqivpment, <br />materials, mstoration, and (uial hook-up• <br />Please nolifj� thc City of I:��erelt Utilities 1)i�•isi�n 10 �eorkinp days in ad��ance of rcquired installation <br />date to allo�s for schedulint; �nd arts ��curement <br />1Vhenever the eslimated cost is nol suf(icicnl to cucer thc tolal expense for labur, maleriol, eqniptnrnt rental and <br />administratit�e cosls. [he de(icil shall be chuged lo lhe propert}' for �+•hich sudi installalion �vas made and lhe <br />owncr thureuf, and provided furlhcr, that any excess p�yment shall bc rclurnrJ lo Ihc persun appl)'ing for thc <br />insLillation. <br />*lleposit must bc paid prior to ordcring p�rts or scheduling n•orh. <br />•�1ust h�ve valid Public Works Permit befon �vork can be perfornicd. <br />iN.-11'T_R ��iFT'F.RS 3" AND I.ARCER A7111' HAL'E' A Sf\' TO 10 1N!_FK L_F.A_D 77119F,. <br />Matcrial <br />I ;thor;+nd 13cncfits <br />I.yui�mxnt licntal <br />la� <br />5371.00 <br />203.00 <br />180.00 _ <br />13.00 <br />Resloration _—_— ---- - <br />'I'O"1'AL $767.00 - <br />PreparcJ by: � __ C� D.d� I��tim�tc Prcpnrcd <br />� <br />AccepteJ h}: ----- _ i2eprc<enting -- <br />F.ti'1'ID1ATF, GO(1D r(1R 6 �10\'PHF <br />i, : Bldg. Prrmit ('��nlrr <br />\9ark tiadlcr <br />Cnrdon 1Vilnc�r <br />�1att 1Vclborn <br />\likc Ward <br />I:attd}' rVl�n <br />1`��ul \IcKro <br />1/16115 <br />5�i�C��m�non�:L rir:dd�c�.t c�d: OU�e�O (irnnd :Avc 1 nf 1 <br />