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. , , � PUOLIC WORI:S DGPART�IGNT <br /> Utilitics Division,3200 Cedar Strcel <br /> lverett WA 98201 <br /> 425-257-8800 <br /> • <br /> ^ � ri '- �� <br /> � <br /> l:��cci�t S ���i��''-� j DatePaid ��- ( '�?- <br /> X Cost of Work Order 548.(10 Work Order# <br /> Cosl of Service Order Service Order N I <br /> Contac[Person Steven Godes Telephone N 206 292-1200 <br /> Reyuested 13y 13enyam Slephanos Date of Requcst _10_6-06 <br /> Property Oi��ncr(natne) Providence Med�cal Cente� <br /> Cliar�;e Cost lu (namr if di((erent Uian owner) - <br /> ��ddress 1321 Colby Ave Ciry Everett Zip 9$206 <br /> Inslallation Location 1402 OakCS AVe <br /> Inst,ll,tion type/description/size/etc. #5-connect to existinc� 4 inch. Make final connection to <br /> existing 4 inch main after testin� and urity. Contractor to expose, shore, rectore. <br /> ❑ 'Phe followin�;estim�le is Uascd upon the Utililies Division provi�ling a(1 IaUor,equipmenc, <br /> matcrials, restoration, an�l final hook-up. <br /> Plcase notify Uie City of Gverett Utililies Division 10 workint�diys in advance of required installation <br /> date to allow for schedulin�and par(5 procurement <br /> 1Vhenever lhe estimated cost is not sufficient to cover the total expense for labor, material,equipment rental and <br /> administrative costs, the deficit shall be charged to the property foc which such installation was made and fhe <br /> owner lhr.rcof, and provided further, lhat any escess paymenl shall Ue retumed to lhe person applying for the <br /> installalion. <br /> *Deposit �uusl be paid prior to ordering parts or scheduling work. <br /> WATEIt n1L'TERS 3" AND LARGGR A�tAY HAVE A SfX TD 10 WEEK LEAD TIN1E. <br /> cc i31dg. Permit Center <br /> �I;�Icri;�l 16Q.00 �tark Sadlcr <br /> Kirl:l3rooks <br /> L.•ibar�md Benc�i(s 292.00 Gordon INilchcr <br /> I'.quipmcnt Rcnlal 86.00 Robert 4Vaddlc <br /> Malt 4Velborn <br /> ' I;�� 10.00 I3enyamSlephanos <br /> Gcrry Crum <br /> TOT:U, --- $548.00 _ pcnnis Robcrson <br /> ��� <br /> Prcparcd h��: Gerry Crum Datc Gstimnte Prepared 10-6-OS <br /> lcccpicd by: Represenling <br /> I?STIIPL�TG GOOD I�OR 6 DiON'PIIS <br /> , _�.�.�,,_.;.i,��.,i<��„i�,rr�,,,�e�,�;��i�,:,,�ir.���i�,noc- 5 of 5 <br />