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,, - - , <br /> ' PUBLICWORKSDEPARTMLNT ' �.'� `'��i� Li ��-�� <br /> UliliBes Division,3200 Cedar Street <br /> Ey Everett WA 98201 <br /> 425-257-5800 <br /> � <br /> P.eccipt �t Date Paid <br /> Cost of Wor]c Order INork Order# <br /> x Cast of Service Order 54304. Service Order# <br /> Contact Person Mark Alde Telephone# 360-631-8835 <br /> Requested By Kirk Brooks Date of Request 4-28-11 <br /> Property Owner(name) Compass Health <br /> Charge Cost to(name if diffemnt than owner) <br /> Address 4526 Federal Ave #3810 City Everett Zip 98203 <br /> InstallaHon Location 3315 Lomba�d Ave <br /> InstaCaHon tape/descripHon/size/etc. 4" on 12" tap and connection to contractor installed stub <br /> to contractor installed DCDA City to do all excavation and restoration related to tap. <br /> ❑X The foll-�wing esHmate is Uased upon the Utilities Division providing a111aUor,equipment, <br /> materi:�ls, resforalion, and final hook-up. <br /> Tiease noli�ihe City of Fverett Ufilitics Division 10�vorking davs in advance of required inslallation <br /> date to allo�v for schedulin�and parts procurement <br /> �4'henever the estimated cost is not suPficient lo cover fhe rotal expense for]abor,material,equipment rental and <br /> adminislralive costs, lhe dePicit shall be charged lo lhe properly for which such installaliott was made and the <br /> orvner thereoP, and provided further, that any excess payment shall be mhu�ned to the person applying for ihe <br /> installation. <br /> *Deposil must Ue paid prior to ordering parts or scheduling warl<. <br /> WAT:�P. IVI�TL-'P.S 3"AND LARGER MAY7IAVL-'A SIX TO 10 4V�EI�LEAD TIME. <br /> $1608 cc: Bldg.Permit Center <br /> Matcrinl Mark Sadler <br /> Labor and Bcnefits 1672 Kirk 13rooks <br /> Gordon Witcher <br /> Gquipmcnt Rental 950 Matt Welborn <br /> 'I,a� 74 Mike Ward <br /> Randy Allen <br /> TOTAL 54304.00 <br /> Prepared by: Mike Ward �� �QJ Date�stimate Prepared 5-3-11 <br /> Accepted by: I2epresenting <br /> �S'I'IniATti GO011 rOR G D70NTI�TS <br /> ti:\;:Crnumon\derical\Co:Lest\2010\3315 Lombard A��e.DOC 1 of 1 <br />