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' ���� �`.%l� �l l <br /> � PuaucWoaKsllw�nr.Thien�r � �' ���, �_ <br /> � UtililicsDivision,3200CedarStreet ��'� 1 q Z(1�fi <br /> I:verett l�'A 95201 <br /> •125-257-SS00 <br /> • CITl' OF EVEf?Ei ! <br /> Fnpinr,ennqlPubllc Serc-�7c�r <br /> Rcccipt t! �5��',i�� j� ���U Dale Paid �����L ��%(.:; <br /> _ X Cost of 1Vurk Ordcr 2,939.00 �;�I'� � `;Vork OrdcrSt <br /> Cosl of Service Order �U ��� Service Order N <br /> Cuntact Person Steven Godes i�� �� Telephone# 206 292-1200 <br /> Requcsled 13y I3enyam Stephanos Date of Request 10-6-06 <br /> Pro��erl}'Oi�'ner(natn�) Providence Medical Center <br /> Charge Cusl lo (name if differenl than orvncr) <br /> A�idress 1321 Colby Ave City Everett 7_ip 98206 <br /> Inslall��lion I.ocntion 1401 Rockefeller Ave <br /> Instailntion type/Jescription/sire/etc. #1- 6 inch tap and final connection. Install tapping sleeve and <br /> control valve, make hot tap. Make final connection after pressure test and purity. Contractor to <br /> expose, shore, restore. __ <br /> ❑ 'I'he following eslimatr is base�l upnn the Utilities Division proviclin�all IaUor,equipmenl, <br /> matcrials, resloration, nn�i final hook-up. <br /> Plcase notify lhc Citv of Gvcrclt Utilities llivision 20 tvorking days in advance oE reguired installation <br /> datc to allow for schcdulin�and parts prncuremcnt <br /> 1Vhenever the estimated cosf is nol sufficient lo coeer the lotal expense for labor,malerial,equipment rental and <br /> adminisfralive cosls, lhe deticil shall be chuged to Uie property for which such installation was made and the <br /> nwncr thercof, and provided furlher, [hat any etcess payment shall be rctumed to the person applying for the <br /> installation. <br /> *Dcposit must be paid prior to ordcring parls or schcduling work. <br /> TO f�,5i{i�G ��-z�-�� <br /> tNATER NIETERS 3"�WD LARCER MA1'HA VE A SIX TO 10 WEEK LEAD 7'IME. <br /> cc: 13Idg.Y^rmil Centcr <br /> �7;ucrial 1,386.00 �lark Sadlcr <br /> — Kirk I3rooks <br /> Labor and l3cncliis 1,094.00 Gordon 1��itchcr <br /> I:quipmcnt RcNal 408.00 Roberl4Vaddle <br /> Mt.�tt 4�elborn <br /> I',is 51.00 13cn�'am Stcphanos <br /> fOl':�L --- �2,939.00 Gcn'}'Crum <br /> --- - — Dennis Robcrsun <br /> I'rc�,.ired hy: Gerry Crum G%Z'�-� _ Uat� i�slimatc Prcparcd 10-6-06 <br /> 1cc��picd hy�: Representing <br /> ICti"1'IRIATIi COOD I�OR 6 �ION'1'l15 <br /> . ,r,,,�,�._��„�ir..��,�r�,.��,r.�,��i.,.���ir�����ni�r _ I of�— <br />