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PUBLIC\'VOP.tS DEPART�1EVT �---- — -� �� <br /> Utilities Division,3200 Cedaz Street <br /> Ev Everetf 1NA 95201 <br /> 925-'_57-5800 <br /> • � <br /> Date Paid <br /> R��cipt <! <br /> Cost of 1Nor1<Order \Nork Ordern <br /> � Cost of Service Order $4304. <br /> Service Order# <br /> Contact Person Mark Alde Telephone n 360-631-8835 <br /> Requested By Kirk Brooks llate of Request 4-28-11 <br /> Propert}' O�+'ner (name) ConlpasS He81th <br /> Charge Cost lo (name i(dif(erent lhan o�+'ner) <br /> nddress 4526 Federal Ave #3810 C;ty Everett 7_ip 98203 <br /> Installation Location 3315 Lombard Ave <br /> Instaliarion rype/descripHon/size/etc. 4" on 12" ta and connection to contractor installed stub <br /> to contractor installed DCDA City to do all excavation and restoration related to tap. <br /> X The follo�ving estimate is Uased upon the U6lities Di��ision providing alllabor, equipment, <br /> materials, restoration, and final hook-up. <br /> Please notif tlte Cit of Gverett Ulilities Division 10�e'orl<in� davs in idvince of requimd installation <br /> dlle to �llo�v for schedulin� �nd P1rts procurement <br /> Whenever thc eslimaled cost is not sufficient lo cover lhe total expense for labor, material,equipment rental and <br /> adminislrative costs, the deEicit shall be charged to the property for which such installation �vas made and the <br /> owncr thereof, and pro��ided further, tliat any excess p�yment sha11 Ue returned to the person applying for lhe <br /> installalion. <br /> "Deposit must be paid prior to ordering parls or schediiling�vorl<. <br /> INATER A7�TERS 3"AND LARGER MA]'HA VE A STX TO 10 61�EIC LEAD TIME. <br /> cc: Bldg. Permit Center <br /> � �latcri.il $1608 D4arkSadler <br /> 1672 Kirk Brooks <br /> Lahor and t3enefils Gordon 11�itcher <br /> I:quipment Rental _ 950 Matt 1Nelborn <br /> Mike Ward <br /> Ta� 74 Randy Allen <br /> 'I'OTAL $4304.00 <br /> Prepared by: Mike Ward �� 7(� Date Gstimate Prepared 5-3-11 <br /> Accepled by: l:epresentina <br /> I:STIb1ATG GOOD �OR G D7t�NTHS <br /> lott <br /> ;:A;:CnnwionA�li�ricdVCnst.est\20]0\3315 I.om6ard AveDOC <br />