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�� � PUBLICWORKSDCPARTMENT <br />Utilities Division, 3200 Cedar Street <br />Lverett WA 98201 <br />425-257-8800 <br />Receipt N <br />✓ <br />Contact Pcrson <br />Cost of Work Ordcr <br />Cosl of `.icrvice Order <br />Petcr Newla�id <br />Kequested I3y Gordon Witchcr <br />Properry Owner (name) Newland <br />Charge Cost to (name if diffcrenl thnn owner) <br />6,381.00 <br />Date Paid <br />Work Ordr.rk <br />Service Order q <br />Tclephonc a 425 259-4455 <br />Datc of Requcst 11-29-04 <br />Address PO Box 5459 City Everett "I.ip 98206 <br />Ins�allation Location 3330 McDougall <br />instaliaiion type/descripiion/size/cic 6" fire service, DCDA inside. Expose main in McDougall. <br />Install control valve and make hot tap. Trench to property line and install 40' (±) 6" DI pipe. Patch <br />street and make final connection after purity. Instail detect meter on DCDA. <br />� 'Che follo�ving cslimate is based upon U�e Utilitics Division providing all labor, equipment, <br />matcrials, restoration, and (inal hook-up. <br />Please notify thc City of liverclt Utilitics Division 10 working days in ad��ance of reguired installatiun <br />date to allow for sched�din�: and parts procurcment <br />Whenever Ihc estimatcd cosl is nol sufficicnt lo cover Ihc lolal cxpense for labor, malrrial, equipment rcnfal and <br />adminislrative cosls, lhe deficil shall be charged tu thr , roperly for tvhich such insL�liation was made and lhe <br />owner thercof, and provided furlher, thal any cxcess paqment shall be returned tu the person applying for the <br />installation. <br />"Dcposil tnust bc paid prior lo ordcring parls or schcAulir.g tvork. <br />WA'I'F.R METERS 3" ANU LARGI:1< MA1' HAVL' A S/X TO 10 WEEK LEAD TIME. <br />Ma�crial <br />L�bor nnd 13encfits <br />I:quipmcnt Remal <br />"fax <br />'1'O'I'A L <br />1,778.00 <br />3,483.00 <br />1.010.00 <br />110.00 <br />$6,381.00 <br />Prcparcd by: Gerry C�unt %�//�--���-13ntc Gstimatc Prcpared <br />Acccpled by: <br />s,.c„�,,,,�,¢tr��,.r.r,,,� «a.�...i��.n nor <br />Itcpresenting <br />I:51'N1ATE GOOD FOR ( MONTHS <br />cr. 131dE. Permit Centcr <br />Mark Sadler <br />Kirk l3rouks <br />Gordon Wilchcr <br />Robcrl 6Vaddlc <br />Matt Welborn <br />i'aul McKcc <br />� GerryCrum <br />REcoxns <br />11-29-04 <br />�'05 <br />I of I ��S <br />