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PUBLIC WORKS REQUEST <br /> ` FOR WATER DEPARTMENT COST ESTIMATE <br /> (ATTACH 1 WATER PLAN FOR REFERENCE) -see owl, Date Request Sent: 3/14/2016 <br /> Associated Permit#: PW1508-001 <br /> PROJECT ADDRESS: 5805 HIGHWAY PL <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW TOWNHOMES+TRAFFIC MITIGATION <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET <br /> ADDRESS: 1205 130TH ST S E ADDRESS: 1205 130th St SE#A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: PHONE: 4255016441 <br /> EMAIL: EMAIL: <br /> CONTRACTOR: CONTACT: 0 Owner, 0 Applicant, ❑Other <br /> NAME: Seattle Dev Assoc LLC NAME: WELAYE MAHER <br /> ADDRESS: 1122 130th St SE#A PHONE: 2068160455 <br /> EVERETT,WA,98208 EMAIL: maherwelaye@gmail.com <br /> PHONE: 425-501-6441 <br /> EMAIL: SDAhomes@gmail.com <br /> REQUEST FROM PUBLIC WORKS REVIEWER: <br /> COST ESTIMATE REQUESTED BY: &Jbi*i& I/er —/y &c mS / 001/11 <br /> 4, / Ofalt. <br /> COST ESTIMATE REQUESTED FOR: <br /> ,CITY CREWS TO MAKE NEW CONNECTION TO MAIN <br /> • #OF CONNECTIONS NEEDED: I <br /> • TYPE OF CONNECTION: aa ® fre ®n 8' Main <br /> • SIZE OF CONNECTION: rI (los rhy M ller -1�/%/r(�1'"inde eetrgefrnot) <br /> • SIZE OF MAIN: ei, "/ <br /> ❑ CITY CREWS TO INSTALL PIPE FROM MAIN TO BACK SIDE OF METER <br /> • EXCAVATE,SHORE,AND RESTORE BY: 0 CONTRACTOR, 0 CITY CREWS <br /> • TRAFFIC CONTROL BY: 0 CONTRACTOR, 0 CITY CREWS <br /> • INSTALLATION AND PIPE THROUGH VAULT BY: 0 CONTRACTOR, 0 CITY CREWS <br /> OTHER DESCRIPTION OR REQUEST: <br /> / /% <br /> f 3,4-&it <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 P'-' . <br />