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PURLIC WORKS U[PARTM1IGNT CO�S� �.ST//'N� TI�S' <br /> � Utilities Division,3200 Cedar Street <br /> Gverett WA 98201 <br /> 425-257-8800 <br /> � �C�,Ob�� <br /> Rcrcipt ?t D palc Yaid <br /> J Cosl of bVork Ordcr ��50�I1� �O�l lNork Order7i <br /> Cost of Service Order ••............... Service Order N <br /> iYOF FVF.RET7� ... . - - <br /> .. .... .. <br /> ConWct Person John Anderson Engineerin��/P��hlic Servicr,s 7'elephone H 425 951-4894 <br /> Itcqucsled f3y Gordon Witcher Datc of Request 3-5-07 <br /> Property O�vnrr(name) TOC Management <br /> Char�;e Cos( lo(namc i(diffcrrnl l7ian owncr) <br /> nddress 6825 S.W. Sandberg St City Tigard, OR 7.ip 97223 <br /> Instnllation Location 6003 23`d D�West <br /> insi,�il:,tion type/description/sizc/etc #1-8" tap. Install tapping sleeve and control valve, make <br /> Hot tap. Make final connection after purity. Contractor to expo�e, shore, restore. <br /> ❑ Thc (ollo�ving cstimalc is b�sed upon the Ulilitirs D:vision providing all labor, ec,uipment, <br /> matcrials, reslorafion, and final hook-up. <br /> I'Icase notify the City of�vcretl Utilitics Uivision 10 workin�days in advancc of required installation <br /> date to allow for schedulins: and parts procurement <br /> Whenever the estimated cosf is not sufficient lo co��cr the tolal expense for labor,material,equipment rental and <br /> administralive costs, the deficit shall be charged to the property for which such installation was made and the <br /> owncr Ihereof, and provided furlhcr, Ihat any exccss payment shall be rntumed lo the person applying for the <br /> inslallatiun. <br /> *lleposil nn�st bc paid prior to ordcring parts or schcduling work. <br /> WATER ��1F.TERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIPAE. <br /> cc: I�Idg. Pcnnit Ccnler <br /> i\la�crial 1,126.00 Adark Sadler <br /> Kirk 13rooks <br /> I.;ihor and 13cncfits 912.00 Gordon Witcher <br /> I:quipmcnl Itenl�il 370.00 Roberl 1Vaddle <br /> — �fa!t Welborn <br /> I;c< 42.00 13enyam Stcphanos <br /> ----- <br /> 'I'O'f:1 L $2,450.00 Gcrn'Gum <br /> — - -----_------ Dennis Robcrson <br /> Prr�,:�rcd In: Gerry Crum���" ' L�-s�--�1)a�r listim;nc I'rcpnred 3-6-07 _ <br /> ;Acccplcd b�" _ Rcprescn�in�! _ <br /> 4:S1'I�L�7'f: CO<)D FOIt 6 p10N'I'HS <br /> , �, � ,,.���, �.�, i�,� r.�,�� .,,�,��i��,� _ I_of_� <br />