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WORKS DEPARTMENT <br />04L Utilitiesities Division, 3200 Cedar Street <br />Everett WA 98201 <br />�/ 22 425-257-/8'800 <br />Receipt # �JJ ✓� Ll A, v/eg p4e Date Paid <br />✓ Cost of Work Order 1 5 0 � Work Order# <br />Cost of Service Order a 2005 Service Order # <br />.......... <br />Contact Person CITY p) <br />Requested By Kirk Brooks E'tBn eeri !q®�pN s aAry eS <br />Property Owner (name) <br />Telephone # 425 334.2790 <br />Date of Request 11-18.05 <br />Charge Cost to (name if different than owner) Haack Bros Const Inc _ <br />Address 3922 87th Ave NE City Everett Zip 98205 <br />Installation Location 2004 — 73rd St SE _ <br />Installation, type/description/size/etc. New hydrant. Tap main In 73"', trench to property line, <br />Install hydrant & stortz, restore. <br />❑ The following estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoration, and final hook-up. <br />Please notify the City of Everett Utilities Division 10 working days in advance of required installation <br />date to allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, lb- deficit shall be charged to the property for which such installation was made and the <br />owner thereof, and per vided further, that any excess payment shall be returned to the person applying for the <br />Installation. <br />'Deposit must be paid prior to ordering parts or scheduling work. <br />WATER METERS 3" AND LARGER MAY HAVE A SIX TO 10 WEEK LEAD TIME. <br />Material <br />Labor and Bcnefils <br />Equipment Rental <br />Tax <br />TOTAL. <br />*Customers share for hydrant Installation <br />$1 A00.00 <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Kirk Brooks <br />Gordon Witcher <br />Robert Waddle <br />Matt Welborn <br />Paul McKee <br />Gerry Crum <br />Dennis Roberson <br />i/ , <br />Prepared by: G rry Crum {� trEstimatc Prepared 11-22-05 <br />Accepted by: Representing <br />►iSTIMAT'E GOOD FOR 6 MONT'1IS <br />5 [XV <br />of <br />