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Receipt � <br />x <br />Contact Person <br />Requested By <br />Cost of 1Nark Order <br />PUBLICWOR[CSDGPARTMENf � <br />Utilities Division, 3200 Cedar Street <br />Everett WA 98201 <br />4?5-257-8800 <br />Cost of Service Order $1 fi,516.90 <br />James Palda <br />Gordon Witcher <br />Date Paid <br />Work Order# <br />Service Order # <br />Telephone # 949-623-7709 <br />Date of Request 03/11/10 <br />Properry Owner (name) Steadfast Everett Mall, LLC <br />Charge Cost to (name if diffemnt than o�vner) <br />Address 4343 Von Karmen City Newport Be�ch, Zip 92660 <br />CA <br />Installation LocaHon 1510 SE Everett Mall Way-3 <br />Installation type/description/size/etc. 6" on 12" tap 17ft of 6" DI 675LA vault and 6" DCDA. <br />Q The following eslimate is based upon the UtiliHes Division providing alllabor, equipment, <br />materials, mstoration, and fnial hook-up. <br />Please notif � the Citv of Everett Utilities Division 10 workin� days in advance of mauired installation <br />d�te to allow for schedulin�* and varts procurement <br />Whenever the estimated cost is not sufficicnt to cuver the tota] expense for labor, material, equipment rental and <br />administralivc costs, the deficit shall be chuged to the property for which such installation was made and the <br />owner thcrcof, and provided further, that any excess payment shall be returned to the person applying Eor the <br />installation. <br />*Deposit must Ue paid prior to ordering parts or scheduling work. <br />WATER A7ETERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEI� LEAD TINIE. <br />M. vial <br />Labor and Benefits <br />�quipment Rental <br />Tax <br />,. cc: B1dg.PermitCenter <br />`�.8667.31/i � z c�� MarkSadler <br />5015.52 �� Kirk Brooks <br />� � Gordon Witcher <br />TOTAL �� b,o� b.au <br />Prepared by: Mike Ward �M u/ Date Cstimate Prepared <br />Accepted hy: <br />Representing <br />�STIpIAT� GOOD FOR 611tONTHS <br />S:\NCommon\clerical\Costest\2010\3510 SE Everett Mail Way-3.DOC <br />Matt Welborn <br />Mike Ward <br />Cliff Lindman <br />Randy Allen <br />03/16/10 <br />