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� Puattc Woaxs DE[�nxrniF,��r <br /> Utilities Divis�on,3200 Cedar Street <br /> Everett l��A 98201 <br /> �125-257-8800 <br /> • <br /> Receipt � Date Paid 5 �L ��� <br /> X Cost of 1Nork Order $1405.00 Work Order# I �i �— �7'-Y <br /> Cost of Service Order Service Order n <br /> Contact Person Nick Abdelnour Telephone k 206 786-3817 <br /> Requested By Jlm Sp00nB� Date of Request <br /> Property O�+mer(name) SiIV2r Lake Center, LLC <br /> Charge Cost to (name if different than owner) <br /> Address 11624 SE 5`" St, Suite 100 Ciry Believue Zip 98005 <br /> Installation LocaHon 11219 19'�' Ave SE <br /> Instaila6on rype/description/size/etc Move existing 1 inch dormant service approx. 8 feet east out <br /> of sidewalkldriveway approach and put in 1 inch setter meter and box for In�igation. <br /> � The follocNing esHmate is based upon lhe Ut:lities Division providing all IaUor, equipmenc, <br /> materials,restoration, and tuial hook-up. <br /> Ple�se notifv the City of Lverett Ulilities Division 10 tivorking days in advance of required installation <br /> date to allow for schedulin�and �arts procurement <br /> Whenever the estimated cost is not sufficient to cover the total expense for IaUor,material, equipment rental and <br /> administraHve costs, lhe deCicit shall Ue charged to the properly for which such installation was made and the <br /> ow�cr [hereof, an�-1 provided further, that any excess payment shall be returned to the person applying for thc <br /> installation. <br /> °Deposit must Uc paid prior to ordcring parts or scheduling work. <br /> *Must have valid I'ublic Works Permit before work can be perfonned. <br /> WATER METERS 3"�N17-L-ilRG—bR-MAY-I��IVE�I SIXTO 10 WEEK LEAD TI1l4E. <br /> $781.00 ce [31dg. Permit Center <br /> Material Mark Sadler <br /> Labor and [3cnefits $457.00 n4au 14�clborn <br /> -- Randy Allen <br /> Gquipment Renta; _ $143.00 __ Paul NicKce <br /> 'fax �24.00 _ JimSpooner <br /> Kirk Drooks <br /> Restoration — <br /> T07'AI. $1405.00 _ <br /> Prepared by: Jim Spooner Datc i:stimate Prepared 4/30/2015 ___._ <br /> Accepted by: �.���� Representing -- <br /> l <br /> rs�•���n�rr coou rok c�naonTt�s <br /> S VlCummonlGciicallCost.cs1�2015\ 1 nf 1 <br />