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ReceiE?t ;? <br />Cost of 4Vork Ordcr <br />PUBLIC �'VORIv DEPART�ILDIT <br />U[iliHes Division, 3200 Cedar Street <br />Everett WA 98201 <br />�z;-zs�-ssoo <br />. <br />Date Paid <br />1-Vork Order� <br />�0! _�� <br />X Cost of Service Order 55408.00 Service Orcfer � <br />Contact Person Lachlan Foss Telepl�one � 206-461-4500 <br />(120) <br />Requested By same Date of Request 5-2-13 <br />Property O�t�ner (name) DVS of Snohomish County <br />Charge Cost to (name if different than o�vner) <br />Address PO Box 7 City Everett Zip 98201 <br />Insc,llation Location 1110 Rainier Ave <br />Iastallation rype/descripHon/size/etc Four ineh tap, connection to eontractor instalied pipe and <br />sidewalk restoration. Contractor to excavate, shore and backfill. <br />Revised to have DCDR inside building. <br />� The following estimate is based upon the Udlities Division providing all labor, equipment, <br />materials, restoration, and (in.il hook-up. <br />Plcasc nntifv the Citv of Everett Utilities Division 10 workino days in advance of required installation <br />dalc to allow for schedulin� an�azts �rocurement <br />�Vhenecer the estimated cost is not sufficient to co��er th'e total expense (or labor, material, equipment rental and <br />administralive costs, lhe deficit shall be charged to the property for which such installation was made and the <br />o«•ner lhereof, and pro��ided furthcr, that any escess payment shall Ue rclurned to the p�rson apply2ng for thc <br />insfallaHon. <br />' Deposit must Ue paid prior to ordering parts or scheduling work. <br />bV:1TRR NIETERS 3" AND LAP.GER �11A1' Nf1VE A SIX TO 10 LVEE(: I ErID 'TI�I tE. <br />\!aterial e�¢q�Q � « d�dg. PermitCenter <br />\dark Sadler <br />Labor and Dencfits <br />610.00 <br />I�yuiptnent Rental 270.00 <br />I�ax -ggpU "5`� <br />TOT��L � � d�� ` <br />Prep�red by: Mike Ward ' AU� ! Date [stimate Preparcd <br />:�cccpted by: <br />S'.:G:mm„n'dencaPLosl estl?URV <br />Representing <br />GSTI�L�TE COOD �OR fi �IO\THS <br />Gordon �Vitcher <br />�tatt Welborn <br />Ivlikc 4Vard <br />Ruid)' :1llen <br />Pnut \1cKee <br />5-3•13 <br />l0(1 <br />