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I'L'RI.IC N�ORY.$�IiPAHTMCM1If <br /> Utilitics Division,3200 Ceclar Slrcet <br /> E L•verelt WA 98201 <br /> M12S257-B80(l <br /> � <br /> Receipt �t >�7,(� Datc Paid � ��—/O _ <br /> X Cost of bVork Order S578.00 Worl<OrdcrB <br /> Cost of Service Order Service Order;! <br /> Contact Perso� Joseph W. Taflin Telephone i� 206-215-8256 <br /> K��uested lly Jeromey Weber, N.W. Const. DateuERequcst 8l3110 <br /> Property Owner(n�me) Providence [verett Medical Center <br /> Charee Cost to(name if dif(erent than owner) M.A. Morten5ofl CO. _ <br /> Address 14719 NE 29°i PI City Bellevue %ip 98007 <br /> lastallalion Locntion 1818 13'h Street /�L�1��. fQ��� /7C�� � 3 J� <br /> Instailation typc/description/size/etc. Connect new contractor installed 8" main to existing, _ <br /> west side. Contractor to excavate, shore, restore and supply parts. _ <br /> ❑ The following estimate is b�sed upon Qte Ulilities Division providing alllabor,equipment, <br /> matcrials,restor�tion,and finaf hook-up. <br /> Plcasc notify the Cil of Gvcrctl Utilitics Division 10 worl<ing days in advancc uf reauired installation <br /> dale to allow for schedulinS and parts procurement <br /> Whenever the estimated cost is nol sufficiud lo cover lhe lotal expense kor labor,material,ecp�ipment rental ,nd <br /> administrative costs, the deficit shall be charged to the property Cor which such installation was made and Ihe <br /> owner thcrevf, and pruvided further, that any excehs payment shall bc rcliuned tn l6e persun applying for thc <br /> installation. <br /> "��cposit must bc paid prior la ordcring parts or scheduling work. <br /> YV�ITCR A�ITTERS 3"AND LA[:GL'R IIfAY F(AVI:'A SIX '1'O 10 LV(:F.1< 1,I:AD "/'IiIIE. <br /> Malcrial cr. [11d�. Permil�:entor <br /> �4nrk Sadlcr <br /> Labur anu I3cncfits 418.00 Kirk Drooks <br /> Gordon Wilchcr <br /> Lquipmenl Renlal _ 150.00 Ivlatl YVelborn <br /> f.ix 10.00 Mike bverd <br /> .. .- Cliff Lindman <br /> 1'p'�'p[, _ 578.00 Randy Allen <br /> Preepared by: Michael W.Ward��/( � [" ��ite f-.stim�te Prepared 816110 <br /> Acccptcd hy: Rcprescnting <br /> RS'I'IMATF.COOD rOR 6 MON'fH5 <br /> S:\+tCoinmon\dcrlcal\Cost cs[\2010\1 P l�3 13T S��2�'.nc � <br /> I � <br />