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. � ��� <br /> � /�, � <br /> �l" � PUBLIC WORKS DEPARTMERT <br /> ,, <br /> COST TIMATE SHEET UTZLZTIES DZVISZON <br /> 3200 CEDAR STR£ET <br /> EVERETT, WASHINGTON 98201 <br /> (206) 259-8800 <br /> Receipt � <br /> Date Paid <br /> `/ cost of work order $ l/ ��or� work order ,€ <br /> Cost of Service Order $ Service Order �` <br /> Contact Person:C�fq�-c (�3c��r-` �,�-J, Telephone ,� <br /> Re�uested By; 1- 11U 1.� /�( �,/�� Date of Request /O -�� �3 <br /> Pr�•perty Owner (name) <br /> Chsrge Cost to (name if different than owner) _ �i�o1Y /3cLrt �a� <br /> Ad:�r�ss �� 30 � Nf� K�LT O Zip � �"1 "7s <br /> Inetallation Locati `�Ca /� �3i9SS aJrac(� �',j,� �'j <br /> �- �� <br /> Installation type/descr � ^�size etc. <br /> x�tT"�iusi o .�.� e.r 7 r4. /'�J.4ii✓ C�'c'�n cA i� �l,.c w F� <br /> [IilTh� Pollowing estimate is based upon the Utilities Division <br /> providing all labor, equipment, materials, restoration, and final <br /> hook-un. <br /> C ? The f��7.lowing estimate is based upon the Street Division work g-oup <br /> pr�-,vid:.ng all labor, equipment, materials and restoration to <br /> oroperty. <br /> Hhonever the estimated cost is not eu:ficient to eover the to�al expenae for labo:, <br /> matecial, eonipmen: rental and administro:��a eoats, the de:icit shall be charged to <br /> :he prc:oerty !o: which such ins:allation was me;e end the owner thereo:, and orovided <br /> t�urther, that any excess paymen: shall be re:uri��d to the person applying for the <br /> installation. <br /> �u s r i a �v R erPAsE- �.✓nTeX. �c�6-,e A P�G�c,vi�,r„Jo%i�1 cG,dczl <br /> � �✓ This cri..tiAi�e-� <br /> Ite3ized Cost Estimate: <br /> Labo� & Overhead .5 �6 -�o ea: alag. re:mtt coun:er <br /> Naterial '�G S,� v Clair olivers <br /> Tom The:'ord <br /> Equipment Rental / �;4;cp Don wei�kamp <br /> xs:x B:ooks <br /> Surface Restoration — cordon witcher <br /> O. Don Nahl <br /> Total �� � , o J Dan LoWe!1 <br /> S:an Y.itchell <br /> Prepared b �.G,yQ.�-�� <br /> Acc�pted by`�/—J <br /> Reoresenting <br /> 4er��.p OB/76;5: <br /> :e�t <br />