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- • Puuuc 4vor�s Dei�,�arncr:ur <br /> ' � Utililies Division,3200 Cedar Strect <br /> Lvcrett WA 98201 <br /> ��1,2�5-,2}�57-580�0 <br /> ���nn.f.�JJl1'Lr:��ae� <br /> Kcccipt q Date Paid <br /> 501.78 Cost of bVorH :;�drr lVork Order# <br /> Cost of Service Order Service Order H <br /> Conwct Person Mark Young Telephone N 425-258-9140 <br /> Reyuested By Kirk B�oOks Date of Request 08-19-2008 <br /> Properh�O��mer(name) Providence Everett Medical Center <br /> Charge Cost to (name if different than owner) MoftensOn ConStfUCtlon <br /> Address 1811 13�h St City Everett Zip 98201 <br /> Installation Location 1330 RockCfellBr <br /> installacion typ��/description/size/c�c Freeze & Cap 3/4" service. Pull 6" DCDA, install 6" cap <br /> wl2" tap for temporary 2" service. <br /> Two services to be paid for separately at S2250.00 each. <br /> ❑ The following estimate is Uased upon U�c Utilities Division providing all labor, ec�uipment, <br /> materials, restoracion, an�l final hook-up. <br /> Plcasc notifv the City oE Gverett Utilities Division 10 working davs in advance of requimd installation <br /> date to allow for scheduling and parts procurement <br /> Whenever lhe estimated cost is not sufficienl to co��er the total expense for labor, material, equipment rental and <br /> administrative costs, the deficit shall be charged to the property for which such installation rvas made ind the <br /> owner Ihereof, and provided further, that any escess payment shall be relurned to the person applyin;; for thc <br /> installation. <br /> "Deposit must bc paid prior ;o ordering puts or scheduling work. <br /> WATER NIETERS 3"Al�'U LARGER MAY FIAVF A SIX TO 10 6VF.EK LEAU TIn4E. <br /> cc tildg. Permil Centcr <br /> i\9atcrial 86.51 Mark Sacllcr <br /> Kirk [3rooks <br /> laburand f3cne�its 278.64 Gordon Witchcr <br /> Lquipntent Rcn�al 128.00 ]ohn\9cClellan <br /> Mall Welbom <br /> Tax 8.63 [lenyam Slephanos <br /> TOTAL 501.76 Gerry Crum <br /> — Dennis Roberson <br /> Clif(Lindtnan <br /> Kandy Aflen <br /> Prcpared by: Mike Ward Datc I:stim�te Prcparcd 8121/2008 <br /> Accepted by: Representing <br /> ESTIi�tATE GOOD FOR 6 i110NTHS <br /> swca��.����od���:.nco��«��_oos��cetmsrH:oosuor I of I �/ � <br /> � <br />