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Receipt � <br />X <br />Contact Person <br />Requested By <br />� <br />Cost of 6Vork Order <br />Cost of �rvice Order <br />Gordon Witcher <br />PUBLK WOFKS DEPART�1cVT <br />Utilities Division, 3200 Cedar Strcet <br />Everett WA 9S2U1 <br />azs-zs�-ssoo <br />$1750.00 <br />,�"�,'C��jrvQ� <br />DatePaid ����—%�_ <br />6Vork Order� � J ( 5 ��f � � <br />Service Order ; ( �� / `� <br />Tclephone � 'i,�! —30�7 —'lt� <br />Date of Request 7I25N 3 <br />Property O�cner (name) DV5 of Snohomish County <br />Charge Cost to (name if different tlian oti�ner) <br />Address PO Box 7 Cih� Everett Zip 98201 <br />[nst�illarion Locacion 1130 Rainier Ave (Rainier side� <br />installation type/description/size/etc. 4" on 6" tap and connection to contractor installed <br />i e. Contrector to excavate, shore, and restore. <br />❑ The follo�ving estimate is Uased upon the Utilities DiGision providing all labor, equipment, <br />materials, restoration, and final hook-up. <br />Please notifv the City of E� erett Utilities Division 10 working davs in advance of required installation <br />date to allo�v for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover Ihe lotal espense for labor, material, equipment reNal and <br />administraHve costs, the deficit shall Ue charged to the property for w�hidi such installation �vas made and the <br />o�vncr thereof, and provided further, fhat any excess payment shall be r�tumed lo the person applying for the <br />installation. <br />•Ueposit must bc paid prior to ordering puts or scheduling work. <br />WA7'ER A�IETERS 3" AND LARGEP NIAY H:1 VE A 5lX TO 10 WEEK LEAD TI�1E. <br />�laterial <br />L:ibor ancl D�ne�its <br />f:quipmcnt Rcn�al <br />T:ix <br />$1175.00 <br />«: ula�;. r��o,�� c�„��r <br />Mark Sadler <br />305.00 Gonlon �1'itcher <br />Matt �VelUorn <br />24.00 �1ikc 4Vard <br />30.00 Randv Allen <br />7'OT:�L 517 .00 <br />Prcpared b}: ✓ ! Date Estimate Prepared 8H113 <br />Accepted b}�: Representine <br />ESTIDIATE COOD FOR fi MONTHS <br />S.`PCor.unun`�cicncaDCost estl20L'� 1130 Ramier Av= (Rainler side) � <br />�•f�iL � <br />