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ks Contract Request Form- <br /> Iger's Name: Heidi Lakics Today's Date: 1/26/22 Est.Start Date 202 <br /> Bill to Information: <br /> Yes ❑ Customer Legal Name: West Coast Home Solutions, LLC Customer Address: 25030 SW Parkway Ave,ste.11( <br /> game: Eugene Labunsky Phone Number: (503)509-5916 Email Address:eugenel.wcl <br /> rk to be done: <br /> 05305 will involve the build out of a 96-lot planned unit development(PUD). Developer will enter into a <br /> he City and pay us to plant street trees. <br /> ion Line Distribution(s):This information will be used to create billing invoices,if not needed please proceec <br /> to Required Items below <br /> Account Code Work Unit Fund Program *Location *Project *Activity *Resource <br /> 123-5 9123 011 308 980 317017 100E 1382 <br /> 459510-985804-10036 (20%) <br /> .459510-985804-10036(80%) <br /> )e of$495.28 (*)if applicable Total Estimated Value of Contract <br /> 0 INCLUDE WITH SUBMISSION <br /> Documents Billing Type <br /> ❑ Upon Request[notification required] <br /> -uctions for contract Program ❑ Scheduled <br /> ❑ Frequency <br /> eement ❑ Amount Set <br /> ❑ Amount Variable <br /> ur executed contract within 3 weeks if all correct information is delivered to the Contract Coordinator. <br /> Jst be filled out completely before submitting your request.Any missing information will result in a delay in processing your request. <br />