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2930 MAPLE ST GROUP HEALTH 2018-01-01 MF Import
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2930 MAPLE ST GROUP HEALTH 2018-01-01 MF Import
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Last modified
11/13/2018 3:36:20 PM
Creation date
11/13/2018 2:52:51 PM
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Address Document
Street Name
MAPLE ST
Street Number
2930
Tenant Name
GROUP HEALTH
Imported From Microfiche
Yes
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PUBLIC WORKS DEPARTMENT <br /> UTILITIES DIVISION <br /> COST SBTIN7ITE BHEBT 2300 CEDAR STREET <br /> EVERETT, WASHINGTON 98201 <br /> (206) 259-8800 <br /> Receipt # Date Paid <br /> Coet of Work Order $ Worx Order �' <br /> �_ Cost �f Service Order $ 12.784.00 Service Order ,# _ <br /> Contact Person: Kirk Brooks Telephone / 259-1572 <br /> Requested By: Gene Wriaht �ate of Re �est 12/il/92 <br /> ' Property Owner. (name) W & H Pacific <br /> Charqe Cost to (name if different than owner) Groun }tealth Co-Og <br /> Address �731 Wetmore City _ Everett Zip 98201 <br /> Installation Location 2928 Manle Sireet Everett <br /> Installation type/description/size/etc. Excavate 6" cast ron main hot <br /> t� with 6" install 6" fire service and restore area ('�Alternative A"1 <br /> [X] The followinq estimate is based upon the Utilities Division <br /> providing all labor, equipment, materials, restoration, and final <br /> hook-up. <br /> [ ] The followinq estimate is based npon the street Division wcrk qroup i <br /> providinq all labor, equipment, materials and restoration to <br /> property. <br /> Whenever the aet•imated coet ie not eufficient to cover the total expenee for lsbor, <br /> material, equipment rental and adminietrative costs, the deficit ehall be charqed to <br /> the property for which euch inetallation wae made and the owner thereof, and provided <br /> further, that eny exceee payment ehall be returnPd to the pereon applying for the <br /> inetallation. <br /> It�mis�d Co�t E�ti3at�: <br /> Labor & Overhead 5. 120. 00 cc: sldg. Permit counter <br /> Clair Olivere <br /> Mdte�ial 6. 002.00 Toni Thetford <br /> Don WAitkamp <br /> Equipment Rental 1,462. 00 xirk erooke <br /> Gordon Witcher <br /> Surface Restoration 200. 00 0. �on wahl <br /> Dan Lowell <br /> TOtil 8 0 Stan Mitchell <br /> � <br /> ?repared F,y �-�- �` �-- <br /> Accepted by Representing _ <br /> Pevisea o9/16/91 <br /> JG3tdC5T <br /> - —� "'_.�__ " _ <br />
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