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I'��r_�c��c���I����,��r�iehri�l;a1L�D �i;a.5 COP'f <br /> UHlities Uivision,3200 Cedar Street <br /> EY lcr.ctt 6V�1 9520? <br /> q25-257-SS00 <br /> • 'Y 7 lu : �_ :I��11 <br /> P.eceipt ,'`, Date Paid C� �� � <br /> X Cost of 11'ork Order 56275.00 1Vork Order� <br /> Cost �f Service Order Service Order`� <br /> Contact Person Donnle Belk 'Pelephone� <br /> Requested B�' Gordon Witcher Daie of Request 8-29-14 <br /> Properry O�+mer(name) Panattoni Development Company, Inc <br /> Charge Cost to(nam if dilferent than o�cner) ___ <br /> Address 6840 Fort Denny Way, Ste 350 City Seattle Zip 98188 <br /> Installation Location 6301 3fi�h Ave West <br /> Installation type/description/size,!etc. 12" on 12" tap lay pipe out of road and connection. _____ <br /> Contractor to excavate, shore, restore and provide treffic control and pour thrust block behind __ <br /> tapping sleeve. (clos��st ra Bjdq /j p,er r����.e ��J,u-d� <br /> ❑ The follon-ing estimate is Uased upon the UriHties Division providing all labor,equipment, <br /> materials, restoration,and final hook-up. <br /> 1'lease notify the Citv of tiverett Utilities Division 10 workin�days in advance of required installation <br /> date to allow for schedulin�and parts nrocurement <br /> �Vlienecer tlu rstimated cost is nol sufficient lo coacr the tota] expense for]aUor,material,equipment ranta] and <br /> administrative costs, the deficit shall be charUed to the property for tvhich such installation was made and the <br /> owner ihercof, and p,-ocided furthcr, that any escess payment shsll Uc retumed to thc person appl}'�ng for the <br /> installation. <br /> "Deposit must Uc Paid prior to orderin�parts or�cheduling work. <br /> WATER �1�1!_'1 ERS 3"AND LARGI:R A�IAYIIAVG A SIX_TO 70 [NEEI( LE�1L� 7'INI�. <br /> cc: BId�;. Pr.rmitCenlcr <br /> \-fa�crisl S4675.00 _ ivfark Sadler <br /> Lnhor and Bcnetits 1017.00 Cordon%�itcher <br /> — ---- Matt�1'elhorn <br /> Gquipntent Renlal _ 475.00 _ I�4ike lirard <br /> Taz 108.00 RanJy A�.lrn <br /> --- Paul\1rKce <br /> Restoration - <br /> •rar.ar, $6275.00 <br /> Yrepared by: Mike ard � ''�Date Estimat� Prepared 9-9-14 <br /> � <br /> Acceptedby: � _1�� __ Representing �1�•rrC� L!�V�S�1r�G���'�, <br /> ESTIIIA'I'G GOOD POR 6�IONTHS <br /> 5:`.;Common'dcric:J`Cest.csD2Dl-0\63(11 36'Ave W(2) <br /> ] ofl <br />