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� PUBLICWORKSDEPARTh1ENf <br /> UtiliHes Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8800 <br /> Reccipt # Date Paid <br /> Costof Work Order Work Otdcr# <br /> X Cost of Service Order Service Order# <br /> Contact Person Andrew M. Hall, AIA 1'elephone# 425-259-0868 <br /> Iiequested By Gordon Witcher Date of Request 5H7H0 <br /> Propertj�Owner(name) Puget Sound Kidney Center <br /> Charge Cost to(name if different than owner) <br /> Address 2727 Oakes Ave, Ste 100 City Ever�!t Zip �98201 <br /> Installation Location 1019 Paci£c Ave <br /> Installation type/descripNun/size/etc 6" DCDA, tap, eross Nassau, set vault, and DCDA and stub <br /> out of vault. Complete restoration by C.O.E. <br /> � T1�e following esrimate is Uased upon the UtiliHes Division providing all labor,equipment, <br /> matcrials,restoration,and final hook-up. <br /> Plcasc notify the City of Gveretc Utilities Division 10 working davs in advance of required installation <br /> date to allow for scheduling and parts procurement <br /> �Vhenever the eslimated cost is not sufficient to cover the total expense for labor, material,equipment rental and <br /> adminislralive costs, the deficit shall be charged to the property for which such installation was made and the <br /> owner tlicrcof, and provided further, that any excess payment shall be returned to the person applying for the <br /> installation. <br /> *De��osit musl bc paid prior to ordcring parts or scheduling work. <br /> ItiATT:R METtRS 3"AND LARGER MAYHAVE A SIX TO 10 WEEK LEAD TIME. <br /> 1�9aterial 8482.00 �c Bldg. l'ermitCenter <br /> Mark Sadlet <br /> Labor and Dcnefits 8359.00 Kirk Brooks <br /> L'quinmcnt Rental 4150.00 _ Gordon Witchet <br /> Matt 6Velbom <br /> Tax 367.Q0 Mike 1Nard <br /> [`I'LL i :.�J�..., <br /> TOTAL 21,358.00 Randy Allen <br /> Prepared by: Mike Ward �Q'/Date Gstimate Prepared 6HH0 <br /> AccepteJ b�: Representing <br /> ESTI�fATE GOOD FOR 6 D10tiTHS <br /> S:A p�'�����nonVdericalVCosGes[\PO 10\1019 I'acific Avedoc (1 <br /> s/� <br />