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Receipt # <br />PUBLIC W ORKMAMMENT MAI MAS COPY <br />Utilities Division, 3200 Cedar Street <br />4-67AEverett WA 98201 <br />425-257-8800 <br />• <br />Cost of Work Order <br />x Cost of Service Order <br />Contact Person John Carswell <br />Requested By John Carswell <br />Property Owner (name) Blue Streak RE LLC <br />Charge Cost to (name if different than owner) <br />Address 18127 109th Ave SE <br />Installation Location 1520 80th St SW <br />Installation type/description/size/etc. <br />Date Paid <br />Work Order# <br />807.00 Service Order # <br />Telephone # 425-299-2376 <br />Date of Request 4-17-2015 <br />John Carswell <br />City <br />Snohomish <br />Zip 98296 <br />Make connections to contractor installed main. Contractor to - <br />excavate, shore and restore. Contractor to supply all parts for connections. <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, the deficit shall be charged to the property for which such installation was made 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 ordering parts or scheduling work. <br />*Must have valid Public Works Permit before work can be performed. <br />WATER METERS 3" AND LARGER 1VIAY HA VE A SIX TO 10 WEEK LEAD TIME. <br />Material 0 cc: Bldg. Permit Center <br />Mark Sadler <br />Labor and Benefits 697.00 Matt Welborn <br />Equipment Rental 96.00 Randy Allen <br />Paul McKee <br />Tax 14.00 Jim Spooner <br />Kirk Brooks <br />Restoration 0 <br />TOTAL $807.00 <br />Prepared by: S ne Cavart't Date Estimate Prepared 4-17-2015 <br />Accepted by: -----------Representing l L� <br />ESTIMATE GOOD FOR 6 MONTHS <br />S:\#Common\clerical\Cost.est\2015\1520 80`' St SW <br />1of1 <br />