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. ' � PUBLICWORKSllEPARTMFM <br /> Ulilities Division,3200 Cedar Strect <br /> Evcrett WA 98201 <br /> 425-257-A800 <br /> Receipt H Dale Paid _ <br /> X Cost of Work Order 1844.00 Work OrdcrN <br /> Cost of Service Order Service Order N <br /> Conlacl Pcrson Gordon Witchcr 'Pelcphonc k 509-548-2303 <br /> Requcsted 6y Russcl 12ise Datc of RequcsL 7/26105 <br /> Properly Owner(namc) <br /> Char�e Cosl lo(name if diffcrent Ihan o�aner) <br /> Address P.O. Box 270 City Startup, WA Zip 98293 <br /> Installation Location 7821 Upper Ridge Road <br /> Inslallation type/description/sizc/etc. #4—Connect to existing 2" main. Expose existing cap and _ <br /> Connect to existing main. <br /> ❑ The following eslimate is based upon Uie Utililics Division providin�;all IaUor,cquipment, <br /> materials, resloralion,and (inal hook-up. <br /> Please nolifv the Cilv of Tverelt Utilities Dieision 10 working days in advancc of renuired installation <br /> datc lo allow for sclteduling and parls procurcment <br /> �Nhenever the eslimated cost is not sufficient to cover the total eapense for labor,material,equipment rental and <br /> administrative costs, tlie Jeficit shall be charged lo Ihe property for which such installation was made and the <br /> owner lhercof, and providc3 furlher, that any excess paymenl shall bc returned lo thc person applying for the <br /> insiallalion. <br /> "Deposit must be paid prior to ordcring puts or scheduling work. <br /> WATGR /b1ETERS 3"AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cc: AIdL.Pcrmil Cenlcr <br /> Matcrial 345.00 1�4ark Sadlcr <br /> Kirk Urooks <br /> Labor and 13cnclits 1115.00 Gordon Witchcr <br /> EquipmeN Rcntal 352.00 Robert Waddle <br /> R1nit Wclborn <br /> r:�. sz.00 r,��i n��h« <br /> POT:�L 1844.00 Ccrry�Crtm� <br /> --- Dennis Roberson <br /> Prcp;ircd I,�: Gerry Crum ���H7ie Gsiimate Prepared 8/2/2005 <br /> AccepteJ by: Representing <br /> r•.s��in���Tr•. c000 soH� niorvT��s J� <br /> . .�, ,,mi�..,_.ii�.,,ni .•J����pnNiJ:eNouLfIIM�IroC '/ O� � <br />