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� PUBLICWORKSDEPARTMflM' <br /> Utilities Division,3200 Cedar Strcet <br /> Everett WA 9820] <br /> 425-257-SSIXI <br /> Receipt k Date Paid <br /> x Cost o(Work Ordcr 2606.00 Work OrderN <br /> Cost of Service Order Service Order H <br /> Contact Pcrson Cordon Witchcr Tdephonc N 509-548-2303 <br /> Requcsted Dy Russcl Rise Date of Request 7/26/05 <br /> Properly O�rner(namc) <br /> Chargc Cosl lo(nanm if differcnl th�in owner) <br /> nddress P.O. Box 270 City Startup,WA Z,p gg2g3 <br /> Installalion Locatimi 7821 Uppe� Ridg¢ Road <br /> Inswllation type/description/siu/etc #2–2"Tap. Expose main install saddle and control valve <br /> Make tap, instali 2" poly to proN. Line. <br /> ❑ 7'he following estimate is based upon Uie UHlities Division providin};all laUor,equipment, <br /> matcrials, resloralion, and final hook-up. <br /> Plcasc nolifv thc Cilv of liverotl Ulilities Division 10 working daxs in advance of reguired installation <br /> datc to allo�v for sdicdtding andyarts procurement <br /> lNhcnc��cr thc estimaled cust is not sufficicnt to covcr the total expensc for labor,material,equipmenl rental and <br /> administrative costs, the deficit shall be charged lo the property for which such installation was made and the <br /> owner Ihereof, and provided further, that any excess payment shall bc rcturned lo the person applying for thc <br /> inslallation. <br /> *Deposit musl bc paid prior lo ordering parts or scheduling work. <br /> WATER A9ETERS 3"AND LARGER MAYHA VE A SIX TO 10 WEEK LEAD TIME. <br /> cc: llld�;. Permil Center <br /> �latcrial 387.00 Mark Sadler <br /> Kirk[lrooks <br /> labor and 13cncfi�s 1672,00 Gordon�Vilchcr <br /> f quipmcnt Rental 502.00 RoUcrt lVnddlc <br /> �1�tt Wdborn <br /> ���� 45.00 Piul McKce <br /> 7'O'1'AL 2606.00 Gerry Crum <br /> —— Dennis Robcrson <br /> Prcparcd by: Gerry Crum��f' ` alc I:s�imalc Prcparcd 8/212005 <br /> Acccptcd b�: Rcprescntin� — <br /> t'ti�'InL�9l? COOU FOR fi INONTHS � <br /> ..,� ,..�. _��_,�� . �� , .:irr�„v,�r�u,�..i-rr..:no� !,� <br /> _Q�.1_ <br />