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�� , `\ . <br /> PUBUC WORKS DEPARTMENf <br /> ' ' Utilities Division,3200 Cedar Street <br /> Everett WA 98201 <br /> 425-257-8800 <br /> Receipt # �9/,��� Date Paid 3�i 7-�C/ <br /> X _ Cost of Work Order 10,298.20 Work Order# <br /> Cost of Service Order Service Order# <br /> Contact Person Rod Koo�s Telephone N +f,1 S�� 3„j�(6 �1 <br /> Requested By Gordon Witcher Date of Request 2122/10 <br /> Property Owner(name) Mlguel GOn281e5 <br /> Charge Cost to(name if differenl than owner) <br /> Address 10820 Evergreen Way _ City Everett Zip 98204 <br /> Installation Location 10822 Eve�g�een Way ` <br /> Installation type/description/size/etc. 4" on 8" tap, install approximate�50 R Of 4" D.I. to <br /> _ back of sidewalk on south side of 1081h St SW and make connection to contrector installed <br /> pipe after rp essure and purity test. <br /> � The (ollowing estimale is based upon the Utilities Division provi�ling all labor, equipment, <br /> matcrials, mstoration,and 1ina1 hook-up. <br /> Please notify the Citv of���crett Utilities Division 10 working days in advance of reauired installation <br /> date to allo�+�for scheduling and parts procurement <br /> Wheneti�er the estimated cost is not sufficient lo cover the total expense for labor,material, equipment rental and <br /> administrative costs, the de;icit shall be charged to the property for which such installation was made and the <br /> owner thereof, and provided furiher, lha'. any excess payment shall bc retumed to the person �pplying for the <br /> instailation. <br /> "Deposit must be paid prior to ordering parts or scheduling work. <br /> WATER METF.RS 3"AND LARGER MA_Y HAVE A SIX TO 10 WEEK LEAD TIME. <br /> Matenal 1,478.64 «� K�dg. PermitCenter <br /> �1ark Sadler <br /> Labor and F3enc�its 5,851.44 Kirk I3rooks <br /> Gordon Witcher <br /> Gquipmcnl Rental 2,790.00 Matt Welborn <br /> Tas 177.12 Mike Ward <br /> Cliff Lindman <br /> TOTAL 10, 98.20 ,�R <br /> Pre ared b �: Mlke Ward � J�� �Y/ U;ite Estimate Pre ared 3i12N0 <br /> P > !�'!� P <br /> Accepted by: Representing <br /> @STIMATF. GOOD FOR 6 MONTHS <br /> $:\UCommon\clerical\CosLest\2010\lOPi0livergreen Way.DOC ]of 1 <br /> � � <br />