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� <br />Receipt tl ��<f, � �� <br />X <br />Contatt Person <br />Rrquested By <br />Cost of Work Order <br />Cost of Service Order <br />Gordon Witchcr <br />PUBLIC WORKS DEPAR7'MIM <br />Utiliti Q� , ��r Street <br />7 <br />� LJ <br />1 1 2ofi5 <br />CIT`020�0 .............. <br />-En ,enr,lrrr�—n�—�v SRE eT ... <br />Property Owner (name) Shoultes Park LLC <br />Charge Cost to (name if different than owner) <br />Date Paid �-j�-Q�j� <br />Work Order# _ <br />Service Order q <br />Telephone N 425-355-2100 <br />Date of Kequest B/8/2005 <br />Address 1 U00 SE Everett Mail Way #402 City Everett Zip 98208 <br />InstallaHon LocaHon 9520 31s1 AVe SE <br />InstallaHon type/description/size/etc. 6" Tap and main. Expose 6" A�: main, install tee and eontroi <br />Valve extend 6" DI main west to property line Developer to backfill, restore 31'� Avenue. i <br />❑ The following estimnte is based upon the UHlities Division providing all labor, equipment, <br />materials, restoraticn, and final hook-up. <br />Please notifv the Citv of Everett Utilities Division 10 working days in advance of r�quired installation <br />date to allow for schedul�n� and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative msts, the deficit shal! be charged to lhe propedy for which such installation was made and the <br />owner thereof, and proviued further, that any excess payment shall be returned to the person applying for the <br />installation. <br />*Deposit must Ue paid pcior to ordering parts or scheduling work. <br />WATER METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br />Malerial <br />Labor and Bcnefits <br />I:quipmcn[ licntal <br />Tax <br />T07'A L <br />1015.00 <br />1672.00 <br />__ 494.00 <br />56.00 <br />3237.OQ <br />cr. BIdg.PermitCenter <br />Mark Sadler <br />Kirk Braoks <br />Gordon Witcher <br />Robert Waddle <br />Matt Welborn <br />Paul McKee <br />Gerry Crum <br />Dennis Robcrson <br />Prepared by: Gerr Crum �L3��/�'----HatrEstimate Prepared 8H012065 <br />Accepted by: Representing <br />F.STIM1IATF. GOOD FOR 6 MONTHS <br />svcomm���i�unco,��,n9szo�inn.�sr:��c �_a� � <br />