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PUBUC WORKS DEPART�fENI' �O�� <br /> \� Utilities Division,3200 Cedar Street <br /> Everett�VA 98201 <br /> 425-257-8300 <br /> • <br /> Date Paid <br /> Iteceipt # . <br /> Cost of Work Order Work Ordern <br /> X Cost of Service Order $4196. Servite Order� <br /> ConWct Person Joe Gaffney Telephone# <br /> Requested By Joe Gaffney Date of Request 11-29-12 <br /> Property Owner(name) Gaffney Construction <br /> Charge Cost to(name if different Uian owner) <br /> Adciress 8105 Broadway Ciry Everett Zip 98203 <br /> InstallatimiLocation 3326 Paine Ave <br /> InsWllaHon type/descriplion/size/etc. 6" on 6" ta and connection to contractor installed line. <br /> City to excavate and backfill Gaffney Construction to do asphalt. <br /> � The following estimate is Uased upon the Utilities Division providing all IaUor,equipment, <br /> materials,restoration,and final hook-up. <br /> Plcisc notifv the City of Gvcrett Utililics Division 10 working davs in advance of required installation <br /> date to �llow for schedulin� �nd parts vrocurement <br /> �1'henever the estimated cost is not sufEicient to cover the total espense for laUor,material,equipment rental and <br /> adininislrative costs, the deficit shall be charged to the property for which such installation was made and the <br /> owncr thcreof, and provided furtlier, that any excess payment shall Ue returned to the person applying for the <br /> installalion. <br /> 'De�usit must be paid prior to ardering parts or scheduling work. <br /> WATER NIETERS 3"AND LARGER A4AY HAVE A STX TO ]0 WEEK LEAD TIME. <br /> cc: Bldg.Permit Center <br /> h1aterial $1543. Mark Sadler <br /> 1831. Gordon Witcher <br /> Labor and Benefits hqatt Welborn <br /> I�quipment Rental 750. �tike Ward <br /> 72 Randy Allen <br /> Ta� — <br /> TOTAL $4196. _ <br /> Prcparcd by: Mike Ward ����� Date Estimate Prep�rcd 11-30-12 <br /> ��eccptcd by: <br /> U Representing <br /> IitiTl�l:\TG GOOD FOR 6�iONTHS <br /> S'dCornm�m'alcrieufCostnf2U12V � <br /> iori, (���; <br /> i <br /> ✓ <br />