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� PUESLICWORKSDEPARTAtGNT <br />Utililies Division, 3200 Cedar Strcet <br />Evcrett WA 9820] <br />425-257-8800 <br />Iteccipt # <br />J Cosl of Work Ordcr <br />Cost o( Service Order <br />Contact Pcrson Patrick Gastincau <br />Requcsted 13y Kirk I3rooks <br />Properly O�vncr (namc) NW LO�d <br />1,172.00 <br />LLC <br />Charge Cosl to (namc i( diffcrcnl lhan owncr) -- <br />nddress 17611 Eason Ave <br />C�Op� <br />Datc Paid <br />4Vork O:JcrN <br />Service Ordcr N <br />Tclephonc N 425 488-1111 <br />Date of Request 7-18-06 <br />City Bothell WA Zip 98011 <br />[nstallalion Location 9504 315� Ave SE Hattley SIP <br />I❑st„��at;on iype/description/size/etc. _ Connect to existing 8" valve after purity Developer to _ <br />restore 31�� <br />� '1'he follo�ving estimalc is based upon Uie Utilitics Division providing all labor, equipment, <br />nmterials, restoration, and (inal hock-up. <br />Plcasc nolify thc City of Gverett Utilities Division 10 workin� days in advancc of required installation <br />date to allow for scheduling and parts procurement <br />Whenever lhe eslimated cost is not sufficient to cover the lotal expense for labor, material, equipment rental and <br />administralive cosls, the deficit shall be charged to the property far which such installation was made and the <br />owner thercof, and provided furthcr, that any excess payment shall be returned to tlie perso�i applying for the <br />installation. <br />*Deposit must be paid prior t� ordcring parts or scheduling work. <br />WATF.'R t19ETERS 3" AND LARGER MAY tfA VE A SIX TO 10 WEEK LEAD TIME. <br />htatcrial <br />I,a6or and I3cnclits <br />liquipment Rcntal <br />'fas <br />•ro•rn�. <br />250.00 <br />729.00 <br />172.00 _ <br />21.00 <br />51,172.00 <br />i/' <br />Prcparcd by: Gerry Crum �L�C!>""�teGstitnatc Prcpared <br />Acceptcd by: <br />Rcprescnting <br />cc: 131dg. Yermit Center <br />Mark Sadler <br />Kirk I3rooF;s <br />Gordon Wilchcr <br />Robcrt Waddlc <br />Matt Wclborn <br />13enyam Stephanos <br />Gerry Crum <br />Dem�is Roberson <br />-O6 <br />FS'PI�tATF: COOD FOIt 6 h10N7'lIS <br />2 of 3 <br />G'p(',m�n�un'dauulu:uu u6NN' land Snvice� IH)f �� �— <br />