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PUHLIC WORKS DEPARTM�JT <br /> � UHlities Division,3200 Cedar Street � A���R: <br /> Lverett WA 98201 �D <br /> d25-257-8800 <br /> ( � <br /> � Date Paid <br /> Receipt # <br /> Cost of Work Order Work Order# <br /> X Cost of Service Order 13,475.00 Scrvim Order N _ <br /> Conlact Person John C. McDonnell Telephone# 425•744-0916 _ <br /> Requesled 13y Ben��am Stephanos Dale of Request �'�—' � � l� <br /> Properry Owncr(name) Senior Services of Snohomish Coi�nry <br /> Charp,c Cost ta (name if different flian owner) _ <br /> nddmss 811 Madison (PO Box 2569) Ciry Everett _ 7_ip 98213-0569 <br /> Instnllation Location 2506 Melvin Ave <br /> Installntion type/desuiption/size/etc. com�lete 4" DCDA 'nstallation and restoration <br /> � The following estimatc is Lased upon Uie UH1iHes Division providing all]aUor,equipment, <br /> malerials,msloration,and final hook-up. <br /> Plcase notif thc Cit oP Gvcrelt Ulililics Division 10�aorkin da s in advance of re uired installation <br /> ditc to illow for scheduling ind n»'ts nroairement <br /> �Vhene�-er thc eslimaled cosl is nol sufPicient to cover 1he lotal c�pense for labor,material,equipment rental and <br /> adminislralive cosls, the deficit shall be charged to thc property for�vhich such inslallation was made and the <br /> owner lhercof, and provided furthcr, that any escess payment shall be returned to the person applying for the <br /> inslallation. <br /> *lleposit must Ue paid prior to ordcring parts or scheduling worl<. <br /> WAT'I�R A�11�TGP.S 3"AND LARGGR NiAY HAV� A SIX TO 10 WEEK LEAD TIME. <br /> 5677.00 «� Bldg.Permit Centcr <br /> \ialcrial n9ark Sadler <br /> Labor and 13cncfits 5016.00 Kirk 13rooks <br /> — Gordon 1Vitcher <br /> Gquipment Itental _ 2550.00 n1a Well�au� <br /> 232.00 ��ke Ward <br /> ��� Randy Allen <br /> 'I'O'fAL / 13475.00 <br /> p�_��,;,���{ �y; Mike Ward ///,r��te Cstimate Preparcd 9-16-2010 <br /> :\cceptcJ by: _ Iicprescnting <br /> I STI\l:\T� GOOD POR C, �IONTHS <br /> � i �.t .; ,,rr : <br /> t �ft <br />