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i <br /> I PUBLIC��VORKS DEPARTM11ENT <br /> Utilities Division,3200 Cedar Street <br /> � Everett WA 98201 <br /> :�5-257-8800 <br /> �� <br /> �eceipl # Date Paid <br /> Cost of 1\crk Order Work Order# � !/� �s <br /> X Cost of Servim Order $410. Service Order� _ � <br /> i <br /> Contact Person Te(ephone # + <br /> P.equested 3y Gordon Witcher Date of Request 7127l2011 j <br /> Property Owner (name) NORPRO <br /> Charge Cost to (name if difEerent than owner) <br /> Address 2215 Merrill Crk Pky Ciq� Everett Zip 98203 <br /> Histallation Location 6101 23�d D�W <br /> Installation type/description/sire/etc. 8" connection from existing 8" stub to contractor instalied <br /> �pe �ontractor to excavate shore restore and provide arts. � vta <br /> tuK�. oa�y�°r " ��,�.� <br /> � The follo�ving estimate is based upon the Utilities Division providing all labor, equipment, <br /> materials, restoration, and fin�1 hook-up. <br /> Pleasc notif the Cit of Gvcrett Utilities Division 10 worki� dtvs in advance of required installation <br /> date to allow for schedulin ana varts �rocurement <br /> Whene��er the estimated cost is not sufficicnt to cover the total expense for labor, material,equipment rental and <br /> administrative cosls, the delicit shall be charged to the property for which such installation was made and the <br /> owner thereof, �nd provided further, that any excess payment shall be returned to the person applying for the <br /> installation. <br /> *Deposit must Ue paid prior to ordering parts or scheduling work. <br /> WATER METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br /> cont�actoP SU Iled cc Bldg. Pemiit Center <br /> \�larterial pP Mark Sadler <br /> Labor and [�encf its 313. Kirk Brooks <br /> Gordon Witcher <br /> l=quipincnt Rcntal _ 9�. �Iatt Welborn <br /> • 7 Mike 4Vard <br /> Tax — Randv Allen <br /> TOTAL $410. <br /> Prepared by: Mike Ward � D:�te Estin�ate Preplred 8-12-11 <br /> Accep[ed by: _ Representing <br /> f STI�lAT6 COOD FOR 6 M1IONTHS <br /> S:A��Cam.im�u`.:I^ric.JVCos[.es[\2010\u 101 23"d�r R'stu6.DUC 1 of 1 <br /> �'�6 <br />