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Pue�.ic����>.��U�,�a4r�,;e��r P'IAILED f�'IP.S COPY <br /> Utilities Division,3200 Cedar Street <br /> El� Everett lNA 98201 <br /> �i25-2i7-SS00 <br /> � <br /> Receipt �? Date Paid <br /> x Cost of 41'ork Order $4534.00 WoTk Order6 <br /> Cost of Service Order Service Order,9 <br /> Contact Person Nick Abdelnour Telephone N 425-894-4533 <br /> IteyvestedB;� Gordon WltGher — DateoCRequcst- 8=15=14--- — <br /> Propert}'�«'»er(name) Silve� Lake �(? h ]C'1^ � �� G <br /> C;harge Cost to(nnme if different tl1�n otiwier) <br /> Address 15 Lake Bellevue Dr City Bellevue "Lip 98005 <br /> Instaliation Location 1101h St SE <br /> Instauation type/descriptio�:/size/etc. Connect contrector installed 8" to existiny 6" with 6" x 6" x 8" <br /> tee. Contractor to excavate, shore and restore. <br /> [� The Following estimate is based upon the Utilities Di��ision providing all IaUor, equipmult, <br /> materials,restoration, and final hook-up. <br /> Please notify the Ci nf Gverett Utilities Division 10 wurl<in�Lays in ad��ancc of required installation <br /> date to allow fnr sch�iltiling and parts procin•etnent <br /> 11'henever the esti�nated mst is not sufficienl to cuver the lotal expense for IaUor,�naterial,e<�uipment rental and <br /> administrative cosls, the deficil shall Ue charged tu the property for which such installation was made and the <br /> ntivncr thereof, and provided furthcr, Ih.t any excess payment shall bc retumed lo Ihe person applying for the <br /> inslallation. <br /> "Deposit must be paid prior to urdcring parls or schediiling work, <br /> YVATEP A1F.1'F,P.S 3"AND LARGET A4A Y HAVI: A STX TO ,10 WEGIC LEAD TINIl;. <br /> P9atcrial 53442.00 cc: 131dg. Permit Cenler <br /> — Mark Sadlcr <br /> Labor aud 13cncfits 814.00 Gordon�1�ikher <br /> — I�-tatt 4Velborn <br /> l:quipment Rental 200.00 _ �9ike 1Nard <br /> 'I;�� 78.00 Randy Allen <br /> Paul McKee <br /> Rcstoratiun - <br /> 'I'O'CAL $4534.00 <br /> Nrepared by: _—Mik-�e ard /L-�' 1 Date Estimate Pre�red 9•4-14 <br /> Accuptcd by: � � � Representing �.�—�-7�/,f,� �k%L�NL-?� � <br /> \ �rESTiNL�TF, COOD FOR fi n10NTiIS � � <br /> S:!�Cunmon\cicricaf�CosLesi@014\110`"SI SE <br /> lofl <br />