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Pemipt � <br />� <br />� <br />Cost of 4Vork Order <br />X Cest of Service Order <br />Contact Person <br />PLBLIC lVOR15 DEPAF'(MEM <br />UNIiHes Division, 3200 Cedar Street <br />Everett WA 98201 <br />azs-zs�-ssoo <br />�"`���3�9 �% <br />Date Paid � '%1 � <br />WorkOrder��(O�� I� �j�% <br />$1750.00 �rviceOrdcr� f �.�i �-f <br />Tclephone � ^��15-�u 3 -//oO <br />Requested By Gordon Witcher Date of Request 7/25/13 <br />Propert}� O�+-ner (namc) DVS of Snohomish County <br />Charge Cost to (name if different than owner) _ <br />Address PO Box 7 Ciq� Everett Zip 98201 <br />InstalJation I_ocation 1130 Rainie� Ave (12'" Street side) <br />lnstailaHon type/descripeon/size/etc. 4" on 8" tap and connection to contractor installed <br />pipes Contractor to excavate shore and restore. <br />❑ The following estimate is ti�ased upon the UtiliHes Division providing all laUor, equipment, <br />materials, restoration, and final hook-up. <br />Please noHfy the Cit�f F�•erett Utilities Division 10 cvorking davs in advance of reauired installation <br />date to allow Eor scheduling and parts procurement <br />Whenever the esHmated cost is not sufficient to cover the lotal expense for labor, material, equipment rental and <br />administraHve costs, the deficit shall be charged to the property for which such installaHon �vas made and the <br />owner thereof, and provided further, that any excess payment shall be retumed to the person applying for the <br />installallon. <br />"Deposit must be paid prior !o ordering parts or scheduling work. <br />WATER il1ETERS 3" AND LARGER itifAY HAVE A SIX 7'O 10 WEEK LEAD TIME. <br />�laterial <br />Labor and Benefits <br />51175.00 <br />305.00 <br />cr. Dldg. Permit Center <br />�1ark Sadler <br />Gordon �Vitcher <br />\4att �1`eiborn <br />Cquipmcut Rental 240.00 �4ike 1Nard <br />T1� 30.00 Randy Allen <br />TOTAL ��d"� 51750.00 <br />f, ` � <br />Prcpared by: �/L �/ llatc L'-stimate Prepared 8HN3 <br />:\ccepted by: Represcnting <br />ESTfAiATE GOOD FOR b �tOVTNS <br />S`.�Cummon�dericaPCusecciC0i7\ 1130 RaioierAve. (12' St. side) <br />�. y/� <br />