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Utilities llivision,3200 Cedar Street <br /> . rverett WA 98201 <br /> d25-257-8800 <br /> Kcccipt N Date Paid <br /> Cosl of 1Vork Ordcr �Vork C�dcrN <br /> ✓ Cost of Service Order 416.00 Service Order N <br /> Contact Person John Andcrson Telephcne# 425 951-4894 <br /> Requestcd I3y Gordon Witcher Uate of Reyuest 3-5-07 <br /> 1'roperly Otvner(namc) TOC ManagBf17e0t <br /> ChnrLc Cost lo (namc if�liffcrent than o�vncr) <br /> nddress 6825 S.W. Sandberg St City Tigard, OR '/..ip 97223 <br /> Instaliatiun Location 6003 23`d D�WeSt <br /> Insiall,tion type/�Icscripiion/sire/etc. #5 — 8" fire service. Instali detect meter on DCDA inside bld�_ <br /> Notify meter shop at 425 257-8950 when ready for installation after testing. <br /> ❑ Thr follrnving estimate is base�l upon the Utilitic�s Di��ision providing all laUor, equipment, -- — <br /> malcrials, restoration, .uul final hook-up, <br /> Pleasc notify lhe City of I:vcrelt Utilitics Division 10 working days in advance of required installation <br /> date tn allow for scheduling and parts procurement <br /> Whenever the estimated cosl is not sufficienl lo cover Ihe lotal expense for labor, material,equipment rental and <br /> adminislrativc cosis, Ihc dcficit shall hc chargcd fo lhc properly for which such installation was made and thc <br /> owncr Ihcrcof, and pravided further, that any excess payment shall be retumed to the person applying for fhe <br /> installation. <br /> *Deposit musl bc paid prior to ordcring parts or schcdulin�; work. <br /> WATF_R A1E'TERS 3" AND LARGER N1AY HA VE A Sla TO 10 WEEK LEAD TIME. <br /> cr. 131dg. Permit Cenler <br /> �iolcrial 227.00 �1ark Sadlcr <br /> Kirk 13rooks <br /> I.obor and Bcnclils 146.00 Gordon 1\'ilchcr <br /> liquipmcnt Itcnl;il 36.00 Kobcrt 1Vaddle <br /> �-- — �iall �Vclbnrn <br /> I;i� _ 7.00 Benyam5tephanos <br /> 'f(l'I':V. $416.00 Gen'y Gum <br /> -- — Dennic Robcrsun <br /> l � <br /> Prcpurcd b��: Gerry Crum��-�_/�G.<.^—.��I>;i�c I'.,�imatc Pmparcd 3-6-07 -- <br /> �\cccpicd hc: Rc��rr,rniing _ <br /> �•:srini:rrF: c:00D FOR 6 pi<)P17'IIS <br /> . :,�. ,�,.,. .., .,�� �. � ��„ •.�,,.,,�� .,,�„��,� —' -°��� <br />