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� � NUItI.IC 4VORFS Df:PARTh1LM' <br /> Utililics Di��ision,3200 CeJar Strect <br /> Gvemlt lVe\ 9R201 <br /> 425•257-f1800 <br /> • <br /> ��0 �� � <br /> i�ccei�il il �< �_� � Dalc Paid _ -� - �� <br /> � Cost of 1Vork Ordcr $;QF6,'Q��/1Qn „ t1'ork OrJcrN <br /> �V <br /> Cosl o(ticrvicc Ordcr � � -�' � c�Or.ler !I <br /> Contaet Pcrson LVall Kjorst�ik '�U�, ( � Zn�� � ephonc !i 206 406-1213 <br /> Requesled Ilp Gordon �Vildicr .�:;'�r:.. D.ite of Itcyucst 6-27-06 <br /> �h t ��. . <br /> ProperlyO���ncr(namc) WaltKjo�SVik 7na,prlNd�n �N��7C'�r .. <br /> � - <br /> Chargc Cust lo(namc if dif(erenl lhan o���ncr) c qP�rieB.4 <br /> Address 1312 E Lakeshore Dr Cit}• Lk Stevens WA "l.ip 98258 <br /> Installniion Loc,iion /f126 Paine Fieldway . <br /> Install.uion �ypc/description/sizc/ctc. 6" tap. Expose main, instali tapping sleeve and control _ <br /> __ _valve, make tap. Trench and install 40' t 6" pi e. Restore trench. _ <br /> - Q -- 'I'hc (ollu�ring estimalc is bascd u��on thr Utilitics Division provi�ling all labor, cqui��tncnl, - <br /> malcrials, resloralion, an�1 final honk-u��. <br /> Plcase noliP}� thc Cily oP I:vcrcll Ulililics Di�•ision 10�vorkint;da�'s in ad��ancc of rcquircd inslallation <br /> date to allow for scheduling and parls Procuremcnt <br /> Whenever lhe eslimated cost is nol sufficienl Ic�co�•er lhe lulal expense for labur, malerial,equipment renlal and <br /> adminislrative cosls. Ihc deficil sliall be diarged lo Uic propert}' for which such insWllalion was made ancl Ihe <br /> owncr thcreo[, and proeidcd Cwlhcr. Iliat any cxccss paymcnt shall bc rch�rned lo ll�c person applying for lhc <br /> inslallalion. <br /> "Dcposit musl bc paid prior lo ordcring parts or schcduling «�ork. <br /> wn�rr:u n�L��r�ts s��n Nr� i.n►:c.►:r, n�rn��iln vz a su' T'O 7 0 lNL"EI� i.GAU TI ME. <br /> �c: 131dg. Pennit Centcr <br /> Ma�crial 2,347.00 Mark Sadlcr <br /> Kirl:Brooks <br /> La6or and l3cncfils 4,374.00 Gorclon IVilcher <br /> liquipmcnt Rcntal 1,206.00 Robcrt lVaddlc <br /> — Atatl 1Vclborn <br /> "I'a� 139.00 Paul �1cKcc <br /> "1'O'1'Al. 8,066.00 Gerry Crum <br /> — - Dcnnis Koberson <br /> /�Prcpared h�•: Gerry Crum - �"-----l�am I:s�ima�c Preparcd 6-27-06 <br /> Acccptcd by: Rcpresenling <br /> Gti'1'I�l:\7'R.COOD I�OR( 1110N'1'llti <br /> <�s,.�-,�,.�;:i.,�,.ir,�,,,,w,<<s„��n��,�u�.�r I ot� I <br />