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itiWoRiC9 n00 Cedar <br />MIM <br />04L Utilitieses Di nlvlsion, 3200 Cedar Street <br />Everett WA 98201 <br />925-257-8800 <br />Receipt # Date Paid <br />Cost of Work Order _ Work Order# <br />X Cost of Service Order _$3545.00 (Service Order# <br />Contact Person Ron Hanson <br />Requested By Benyom Stephanos Dale of Request 10-16-12 <br />Property Owner (name) Hansen & Hansen Construction <br />Charge Cost to (name if different than owner) <br />Address 10131 Moran Rd. City Arlington Zip 98223 <br />Installation Location Parcel #00566100010100-inak4Cc <br />Installation type/description/size/etc. Now service installation outside cl�mits.____ _ <br />(Same estimate for lots 106 and 108.) <br />® The following estimate is based upon the Utilities Division providing all labor, equipment, <br />materials, restoration, and final hook-up. <br />Whenever the 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 for which such installation was [Wade and the <br />owner thereof, and provided further, that any excess payment shall be returned to the person applying for the <br />installation. <br />"Deposit must be paid prior to <br />IATA•r'CO a,r D777DC g01 AArr <br />Material <br />Labor and Benefits <br />Equipment Rental <br />Tax <br />parts or scheduling work. <br />500.00 <br />2034.00 <br />950.00 <br />61.00 <br />cc: Bldg. Permit Center <br />Mark Sadler <br />Gordon Witcher <br />Malt Welborn <br />Mike Ward <br />Randy Allen <br />TOTAL 3645.00 <br />Prcparcd by: Mike Ward IA'L/ Date Estimate Prepared 10-17-12 <br />Accepted by: <br />SdNCommmn ciedcenCmt.ett12012110131 Moran Rd. <br />Representing <br />F.STIMA'VE Goon roll MONTHS <br />loft <br />