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� <br /> PUDLIC WORKS DIiYAR7'I4ENT <br /> U'PILZ'PItiS UIVISION <br /> 2700 CEDAR STRCET <br /> ��M COST ES7'IMTTE 61IEET LV6RP'i"P, WASIiING7'ON 90201 <br /> '�� (20G) 259-�800 <br /> q � �pr-�r� Date Pai.d ��_l_JL_' � <br /> N <br /> y � Receipt # _.LiL�Q <br /> �C c] Work Order �I <br /> o�� X _ Cost oP Work Order $ <br /> '��y SerVice Order � ._ <br /> Cost of Service Order S <br /> � ip �. <br /> HG Requested Dy: G.WI'fC1IT'R Date of Request _ _ <br /> p �g --- ""� <br /> Property Owner (name) RP.N IIO�E a <br /> �s~� Charge Co�t to (name if diiferent than owner) . _ _ • <br /> t'y <br /> Cit EDMOt7US 7.ip 94020 <br /> VMi Address P,_0_OOX G58 Y <br /> �y N � <br /> W� <br /> � Installation Location �205 W CASINU <br /> '� Installation �ype/description/size/etc. ON� G" li0'1' TAP oN G" MAIN <br /> TWO rINAL 1100KUP5 TO 8" MAINS — <br /> �X� The fullowing estlmaCe le baoed upon tho UtiliCieu Divic�lon providing all labor, <br /> eq�ipment, inaterials, raaloratlon, and final hook-up. <br /> ', �� . i.:,;�:u.,p.. <br /> � � j The Collowing eettmato Se based upon tho StroeC Divinion work group providlny all <br /> labor, equipmont, mntorlalo and reul:oral:ion to property. <br /> I C� Whenever th� oettmated coet Lo not nufficient to cover Che tolal expenne for labor, <br /> materlal, equipment rental and adminietrative coeln, tha de[Lcit ehall ��nat'a 9 vided <br /> the property for whlch nuch Lnetnllation wae mado nnd thn owner t6ereof, P <br /> ' furthec, that any excenn payment ehall be returned to thc pernon applying (or Che <br /> I _ Lnetallation. - <br /> � <br /> Itemized Cost Estimate: <br /> � <br /> i �� I,abor & Overhe�d 900, cc: susy Haugen <br /> Clair Olivere <br /> Material 1� J2�• Tom Thetford <br /> �� Don Weitkamp <br /> Equipment Rental 370. xirk orookn <br /> Cordon W1Ccher <br /> Surface Restoration 200. oon wehl <br /> Service Order Cost � <br /> Total y700. <br /> Prepared Uy ____ Rcviscdo2/22/90 <br />