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� <br />Receipt � <br />ununes i_�rvision, ��u� �eun� .�urr� <br />Bverelt lNA 93201 <br />425-257-8800 <br />Cost o( \Nork Order <br />X Cost of Service Order $767.00 <br />Contact Person Allen Campbeli <br />Requested ey Allen Campbelt <br />Property O�vner (name) Accord investments LLC <br />Charge Cost to (name if difierent th;ui o�+�ner) <br />Address <br />Installation Location 2620 G <br />Installatlon type/description/size/etc. <br />City <br />Date Paid <br />1Vork Order# <br />Service Order #t <br />Telephone � 425-359-4716 ` <br />Date of Request 1/5115 <br />7_ip <br />Two inch tap for fire service. Contractor to make connection <br />to valve due to non-standard size pipe. <br />e-mail: allencampbeil52@gmail.com <br />� The follo�vu�g estunate is Uased upon the Utilities Division providUig aI1laUor, equipmenl, <br />materials, restoration, and final hook-up. <br />Please notifY the CiIV oE Cvcr�tl Utililics llivision 10 �vorkin� d�ys in advance of required inslallaiion <br />date to �llmv fm• schedulin� and yarts Vrocurement <br />b�'henever thc eslimated cosl is nol sufficicnl to covcr thc LoWI expense for IaUor, malcrial, equipment ;cntal and <br />adminislralive tos[s, the deficil shall be diarged to Ihe property Cor which sach installalion was made and the <br />o�vner lhcrcof, and providcd further, lhat any excess paymenl shall Ue returned lo tlie person applying for thc <br />inslallation. <br />' Dcposit mttst bc paid prior lo ordcring parts or scheduling work. <br />"Musl Liaec valid Public l��orks Pcrmit beforc work can Uc perfornicd. <br />WA'TER MI:TEI25 3" AND LARGF_R MA1' 1_IAVr A SIX TO 70 INEI:K LE�D 7'IN1E. <br />Maicrial <br />Labor and i3cnefits <br />liquipmcut Rcnlal <br />l'ax <br />$371.00 <br />203.00 <br />180.00 _ <br />13.00 <br />cc i31dg. Permil Cenler <br />VTark Sadlcr <br />Gortlon �Vitchcr <br />Mall lNclborn <br />Mikc W�vil <br />Rand}� Nlen <br />Paul \9cKcc <br />Restnration --_--- <br />'I'07'nI. 5767.00 _ <br />Prcparcd by: � ',/d�-��J� - _ Dalc lislimatc Prcparcd 1116H5_ <br />Accepted by: 1���'L_��a� I — Representing _-- ---- <br />F.STIn7A'I'Is ��OnD I�OR fi �tON7'lIS <br />ti �.HCominouldcricaP�Cost cst\2�I4\2G20 (ir�nd la�c <br />lotl <br />