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Puoiic������a:��r�i:�T fhA1LED MAS COP'f <br /> � UtiliUcs Division,3200 Cedar Street <br /> E��erett 4YA 98201 <br /> 42�-257-3&00 <br /> • <br /> Receipt .: Date Pni�3 <br /> x Cost of 11'orl;Order $3023.00 1Vork Order�t „I,u/ ' ` �. � <br /> Cost o(Serviw Order Sercice Order� _ <br /> Contact Person Nick Abdelnour Telephone� 425-894-4533 <br /> --l:eqvestecl-rJ'---Gordon-Witehe� - - nateoERequest 8-15-14- - --- I <br /> Propertv O�cner(name) Silver Lake� C�/I fec^ , L`�.- <br /> Charge Cost to(name if different Uian o��ner) <br /> :�ddress 15 Lake Bellevue Dr Cit}• Bellevue Zip 98005 <br /> Instillation Location 19�h Ave SE <br /> liutallati�n t�•pe/desaiption/size/etc 8" on 12" hot tap and connect to contractor installed 8" pipe_ <br /> Contractor to excavate, shore, restore, and handle traffic control. I <br /> ❑ The followutg estunate is based upon the Utiliries Di��sion providing all lalor, equipment, <br /> materials, resioration, and final hook-up. <br /> Please notify Utc Cih� of F.verett Utilities Di��ision 10 workin,davs in advance af required installation <br /> date to allotv for scheduling and putsproturement <br /> 1Nhnnever the esHmated mst is not sufficient to cover lhe total espense for labor, material,equipment rental and <br /> adminislrative cocts, the deficit shall be charged tu the property for iehich such installalion �vas made and the <br /> o«�ner thereof, and provided further, that any esmss payment shall be returned ro thc person applyiny for lhc <br /> installation. <br /> *Deposit must be paid prior to orderin�parts or schcdulino work. <br /> WATER Ml:1�ERS 3"AND LAL�GER i1�IAY HAVl: A SI_� TO 10 WPEti LEf1 D T1N1E. <br /> :A�latcrinl $1767.00 ��: I�Idg. Permit Centcr <br /> — — �4ark Sadler <br /> Labor and [?cnelit� 814.00 Gordon 61'itcLcr <br /> 1-latt 14'elborn <br /> Lquipmcnt Rent�l ---- 390.00 \9ike 4V;ud <br /> '�'�� 52.00 Randy Allen <br /> Paul �blcf:ee <br /> Itestor•rtion <br /> '1'OTAL $3023.00 <br /> Prepared U}': Mike Ward /�j//� D�tc [stunatc Prepured 9-4-14 _ <br /> Accepted by: Reprcsentin� <br /> ES"I'[AtATIi GOOD FOk 6 �70�THS <br /> S.':=Common'cletieaP�,Cost.eiil?01-1119�°Ave S[ <br /> ]oil <br />