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� � <br /> / ( ' PUBLIC IVOR}S DEPARTMEN'P <br /> ��-f Utilities Division,3200 Cedar Strect <br /> � L'vcrett WA 9820] <br /> 325-257-8800 <br /> � <br /> ■ <br /> C � �7�7 <br /> Reccipl 11 I�� DatePaid 'GG -�� ,� <br /> X Cost o(1Vork Ordcr 6,388.00 4Vork Ordertl <br /> ��/ <br /> �ost of Sereice Order i�oll`l ' � Service Orcler N - <br /> Contact Person Sleven Godes "Cclephone fi 206 292-1200 <br /> Requcsled li}' 13enyam Stepltanos llate o(Request 10-6-06 <br /> [�roperiy oti��ner(nnn,e) Providence Medical Center <br /> Chart;e Cost ln (name if differenl than o�vner) <br /> Address 1321 Colby Ave Cit�� Everett 'Lip 98206 <br /> Installalion Localiun <br /> Inslallation typc/�Icsa�i��tiun/sizc/cic #4- 6 If1Ch 0�ic service. Install , t <br /> �s ef in contractor suPplied, installed andpiped through vault. Vault to be utilities 44S4-LA with__ <br /> 4484-TL2-332P lid or equal. <br /> ❑ 'Phe folloi�-ing estim,ite is based upa� Uie Utilitics Division pro��i�(inb all labor, equi�,ment, - <br /> nr,�tcrials, reslor��lion, an�i (inal hook-up. <br /> Plcasc noli[y lhe City of IiverMt Utilities Division ]0 working davs in advancc of required installation <br /> date to allow for schedulin�and ��rts procuremrnt <br /> Wheneeer lhe estiroaled cusl is nut sufficienl to cover the lolal espense r`ur lahor,malerial,equipmenl rental and <br /> admiuislrative cosls, Ihe deficil shall be chuged to U�e propert}' for which such installalion �vas made and fhe <br /> ulvncr thereof, and providcd furlhcr, Ihat any exccss payment shall bc relurned to thc person applying for lhe <br /> installalimi. <br /> *Dcposil must be paid prior to ordering parls or scheduling�vork. <br /> WATER IIIGTERS 3"AND 1 ARGER h1AY I��1 VE A SIX TO 10 INEL'K LEAD TIME. <br /> cc 131dg. Pcrmit Cenlcr <br /> Dlalcri�il 4,926.00 htark Sadler <br /> Kirk 6rooks <br /> L�ibor ancl Bcnrlits 1,09$.00 Gordon lVitchcr <br /> Gquipmenl Rental 258.00 Robert 11'addle <br /> -- �latt 1��Iborn <br /> l�ax _ 110.00 _ Ben}'��n Stephanos <br /> '1'O'1'AL $6 388.00 Gerry Gum <br /> --- '----- Dennis Roberson <br /> G � <br /> Preparcd by: Gerry Crum G�-u��{ '�e Estim.rtc Preps�rcd 10-6-06 _ <br /> Accepted b}': _ Represen�ing - <br /> ES'il�tA'fl: COOD FOR 61NONTIiS , <br /> s„r,...������.t���„ir��u�,��r��„�d�.�are�d�a,ir�����nnc a of_�G' (p�� <br />