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----: RESIDENTIAL d. COMMERCIAL <br />KOTHRADE <br />SEWER • SEPTIC 4 EXCAVATING <br />milling: <br />r00 >>_, <br />Phone: 1 r <br />NEOUSrip Chargence Inspection <br />Truck -Hourly Charge <br />overtime Charge <br />Flat Rate Fee <br />TANK CLEANIPiui <br />Maintenance Hole Expo ❑ i ❑ 2 U3 sod "' ❑ No <br />Tanks ❑ A <br />Tank Size lL7.i 1 <br />Disposal _ <br />City Permit <br />Extra Hose <br />Extra Gallons <br />Extra Back -flushing <br />Extra Labor <br />Commercial Pumping <br />Sand Disposal <br />Commercial Waste 1Yansi�ort <br />RAISING MAINTENANCE HI <br />Service Call <br />Gigging ❑ Hand ❑ Backhoe <br />NMI <br />Riser ❑ Concrete ❑ Plastic <br />Maintenance Hole Cover <br />Adjustment Ring <br />Pipe & Caps <br />Tar & Cement <br />Materials <br />Cement Disposal <br />__m.-- <br />Deiivery Charge <br />Kothrade SW'E, Inc. <br />p.0. Box 210 • Hanover, MN 55341 <br />763-498-8702 • www.kothrade.com <br />Time In: - <br />Job Site: - <br />P.o. # - <br />Recommended Service Date: <br />at . Item _ <br />LINE CLEANING <br />Service Cali <br />Jetting <br />Televising <br />Main Line (First 50 feet) <br />Additional Footage <br />Floor Drain <br />Laundry Line <br />Kitchen Line <br />Bathroom Line <br />Miscellaneous Line <br />ToileUUrinal RemovelRepiace <br />Snake Toilet/Urinal <br />Labor <br />Estimates by Kothrade Sewer, Water &Excavating, Inc. ("Kothrade") are based on facts made <br />known to Kothrade as of the date cd the estimate, and therefore are subject to change. Costs of <br />labor and materials may vary after the work commences based on unforeseen issues, including, <br />but not limited materials <br />to, acts v omissions of Customer or third parties or job side conditions. In the <br />event Kothrade determines additional work or materials are necessary, and the cost will In <br />the original estimate, Kothrade will seek Customer approval prior to commencing with the <br />additional and/or necessary worko if the Customer is unavailable or cannot be reached, and the <br />tile rwork, and Customer shall be responsible for all services, labor d due to circumstances, Kothrade, In its and materials used*e discretion, complete <br />I authorize and agree to pay Kothrade for the services, labor and materials as itemized & <br />described above. y <br />Kothrade <br />Sanitizing <br />Parts/Materials <br />Labor <br />PUMP REPLACEMENT <br />Service Cali <br />Work Orderllnvol ce <br />29317. <br />Time Out: <br />Digging ❑ Hand ❑ Backhoe <br />Sumppump <br />Electrical Hardware <br />Float Switch <br />Alarm <br />Partsl� Matatiais <br />Pump Disposal <br />Lebo --------.---- <br />BAFFLE <br />Service Call <br />Confined Space Entry <br />Materials <br />Labor <br />S'eivf -� <br />TOTAL PARTS <br />TOTAL LABOR` <br />TOTAL OTHER CHARGES <br />SALES TAX <br />AND TOTAL <br />❑ CHECK Q CASH ❑ ON AC/COUNT <br />inc. Technician <br />Date <br />f.� <br />Customer Signature <br />