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�f /z�z-0o1 <br /> � Puo�icWor�t:sDr:rnar��errr <br /> Utilities Division,3200 Cedar Slrcet <br /> Gverett WA 98201 <br /> 425-257-8800 <br /> • <br /> Rcceipt N Datc Paid <br /> CostofWork Ordcr Work Order# <br /> �� Cost of Service Order �f�,'J Service Order# _ <br /> Contact Person � b � Cra �1 �'- Tdephone# <br /> /� /� Datc of Re ucst / ',,Z(`—��. <br /> Requested By `7c�_ L'cb( ���e�_ �C 4 � <br /> ProperlyOw�ier(name) �� / �� C, ; r �tC` �v1 <br /> Charge Cost to(name if different tl�an atime ) <br /> Address $�f� � -oct � City �V N[-�?� Zip �,j' C� <br /> Installation Locatlon �/-L, � / ci�Il[� /T U P <br /> r� /� u <br /> B�slallation`type/description/size/etc. f;°,7�� , �v�,^n Cdll�y Cf�0.nL�C�tJh O Cr�btl�^C£G�GV_ <br /> liL�r4�(/P�� (Ch.P.� �i��o � C!' L9rL 1P GL�t��`k il� '�Y���IAIL <br /> /r ft�( "4,f.�1`�L1 /� 1� d� ( <br /> [� The following estimate is Uased upon dte Utilities Division providing all]aUor,equipment, <br /> matcrials,restoration,and final hook-up. <br /> Plcasc notifv thc Cilv of Everett UHlities Division 10 workin�days in advance of reauired installation <br /> date io allow for schedulinQ and parfs vrocurement <br /> Whenever the esfimated cost is amt sufficient to cover lhe tolal ezpense for labor,material,equipment rental and <br /> administrative costs, lhe deficit shall be charged lo the property for tivhich such insta]lation was made and llie <br /> owncr fhereof, and provided furthcr, lhat any excess payment shall Uc mlurned to tlic person applying for the <br /> installalion. <br /> "Deposit must be paid prior to ordcring p:u•ts or scheduling work. <br /> WATER METERS 3"ANiI LAItGER MAYHAVE A SIX TO 10 WEEK LEAD TIMi;'. <br /> A4atcrial �� /�Y `zj , '—� «� Bldg.Permit Center <br /> Mazk Sadler <br /> I.abor and Bencfits L't ( _ � Kirk Broo}s <br /> h Gordon Witdier <br /> Lquipment Rcntal [ 7�� ,, — Matt Welbom <br /> 1'ax � � � Mike Ward <br /> Randy Allen <br /> TOTAL ' ^-- <br /> I'rcparcd by: �; �% u�ci� C 'Date Estimate Preparcd �[ —���� <br /> Acc� �ted by: Representing <br /> I;S7'In1ATF GOOD FOR C YIONTHS <br /> S\Nfommun\cicrical'�Cos�est\2010\!CGSId5TR20f0.U0C 1 of 3 <br />