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. {�� PUBLIC WORKS DII'AR'I'MENT <br /> � U6lities Division,3200 Cedar Street <br /> � Everett WA 98201 <br /> 425-257-8800 <br /> � V � �n <br /> Receipt # ��7,�(�C� � l u �1 e Paid �S- (�(> <br /> u ^ 3 2005 � - <br /> .� Cost o(Work Order 996.00 ��,� u Work OrderH <br /> Cost o(Scrvice Order , :x .ry,iceOrder H <br /> ContactPerson GdW;Ison CITY OF EVEaETT <br /> nqineerinqlPublic Seroi��lephonc# 206 728-45f0 <br /> Requested I3y Gordon Witcher Date of Request 12-20-05 <br /> Property Owner(name) IntfdCo►p <br /> Cltarge Cost to(name if di(ferent lhar.otvner) <br /> Address 2505 Second Ave City Seattle WA Zip 98121 <br /> Inslal!atiun Location 6�,00 — 23rd D�W (Q�E�C) <br /> Installalion type/dcscription/size/etc. #1 —connect to existing stub. (N.W.) Developer to <br /> expose/cover. Do not connect until purity is obtained. <br /> ❑ 'I'hc following cstimate is basc�l upon tlic Utilitics Division providing all labor, equipment, <br /> matcrials, restoration,and final hook-up. <br /> Plea;e notify the Cily of I'sverett Utilities Division 70 working days in advance of renuired installation <br /> date tu allow for scheduling and parts procurement <br /> Whenever the eslimaled cost is not stdficient to cover the lotal expense for IaUor,material,equipment rental and <br /> administrative costs, Ihe deficit shall be charged to the property for which svch installation was made and the <br /> owner thereof, and provided further, thal any excess paymenl shall be returned to the person applying for the <br /> installation. <br /> *Deposit must be paid prior to ordcring parts or scheduling wark. <br /> WATER A1E'TEI:S 3"AND I.ARCER MA1'IIAVC A SIX TO 10 WEEK LEAD TIME. <br /> cc: 131dE. Permit Cenler <br /> Ma�crial 250.00 Mark Sadlcr <br /> Kirk Brooks <br /> Labor and Ilcndits 557.00 Gurdon Witcher <br /> Gquipmcnt Rcntal 172.00 RoUert�Vaddle <br /> -- Matt Welbom <br /> l�ax 17.00 Paul A4cKec <br /> 'T07'A1, $996.00 Gerry Crum <br /> Prep,ired hy: Ger Crum �__ p:uc Gstim:de Prep;�red 12-21-05 <br /> Accepled by: _ Represcnting <br /> E5PIRIATF, GOOD FOR 6 1110NTHS <br /> $�kCM�I�nIT�I�[I�CI��:l�osl[t1l�nhafiN��l�)111� I p` 5 <br />