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4900_001.pdfSIDE SEWER CONTRACTOR INFORMATION: Company Name: Site Contact: Phone #: -2 6 4 .2 2 570 S/ Mailing Address: -Sw 7'0,4 1t1) Fax #: State License #: ( 6,3 7 - 7,17 Expiration Email #: f r /? 4kN";e 6,4a;-e t #z 6. 4 Ly� " eel `j 7 — 1, 4- City Business License #: 1v fl —o .2 1 /.z I Liability Insurance Bonded PROPERTY INFORMATION: Address: an-4— Z., 2-6 Owner's Name: 6T)4 -I /u O','t �--� Phone #: lyz g- - S z , - y /,, � F] Full Line Replacement El Spot Repair [:] Pipe Burst .Reline (PermaLine Only) DESCRIPTION OF PROPOSED WORK (Be Specific): , W j-01tg L fof-tAIR ... .......... SIGNATURE x DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE FL V' recirtiolo ies Flioe� SnImions RE: Edmonds, WA I Admiralty House Sewer Lateral Repair August l6,2016 Flow Technologies incorporated Is pleased to provide the following quote to your firm for the above mentioned project, per your request The following prices should be considered confidential. Your Investment for this project includes, LMK Sectional Liner Installation, LMK Lateral Liner installation to Side Sewer, Final CCTV Inspection. -ild Item ..... — — ------ - . ...... Description -- Unit of —Unit Bid Price Total Dollars Number ..... . ... . . ...... . ......... measure Quantity /Unit Prepare and Clean & CCTV 6" Lateral for Lining LF 175 $ 6.34 $1,109-50 . . ...... Install FSectlonal Liner LF 23 $ 204.23 $4,697.29 . ......... Install —6"Sectional Liner" LF so $ 137.11 $6,855-50 $ r$24,9SO.29 4 Install 6" Lateral Liner . . . . . ...... LF . . . 1W . ...... . ....... — --�—H2.8812,288M . . ................ .... . ....... . .............. . . . . . . Flow Technologies Incorporated 8215 SW Tualatin Sherwood Road Suite 200 ITualati I n, Oregon 97062 WA Contractors # FLOWTT1859MU Oregon CCB # 208473 Oregon ESB # 10079 Department of Labor and Industries FLOW TECHNOLOGIES INC PO Box 44450 Olympia, WA 985044450 Reg: CC FLOWIM859MU 1 .60497-747 Registered as prbyided lay Law as: Lpon;6; an Contractor CCOI ) GENERAL 471 FLOW TECHNOLOGIES INC EffietiveDate:;7 1/2015 8215 SW TUALATIN SHERWO0DIRD Fipiiati6n late: 71 1/2017 SUITE 200 TUALATIN OR 97062 LICENSE NUMBER CITY f f' EDMONDS LICENSE YEAR 2016 %% „r j% %/S,a Non Resident Business License This license roust be dlsfwtat"d aria may nol be transferred or assigned. Effective January t through Dac w nhof 31 of license year except where meted. FLOW TECHNOLOGIES, INC. 8215 SW TUALITIN SHERWOOD RD 200 TUALATIN, OR 97062 Y. ,..ww........�.W _.. (CITY ( EAK�,Slair) FLOW TECHNOLOGIES, INC. 11216 134TH AVE CT E PUYALLUP, WA 98374 o a an c� t0 N N O00 Z �C1 r r•�r���'J N--cc 6 N N U -7 VL3 O ~ N W l 1 E - C`N'] C O u-) C 1L7 O W (A +1 CD T N 3 Im m to U CD T O r U W 3 cm �' E O Z d Q. �D ++ Q ,--e O U O pppp W Ln U) N N cn 1 1y-e F— cr) � C C r U N l!7 ZOO O�� W J O O- Q) co O V Li IL OZJ nON O J a o W a r SAS ILBII k U ' e U 9 R I tl tl (w V N a N u7 N � a iF L O iF 3 4-- N O a eV Y Ln O U C r- U L M O H 11 b 0 3 II L C to 4-+-1 Is ++ M 10 to aI O 70 1 4-1 LU1-0 Q= VJ ail" aTI � , Y d O O F-- U7 U