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PUSLIC WORICS DEPARTMENT <br /> UTILITIES DIVISION <br /> COST 88TIlS71T£ BHEET 2300 CEDAR STREET <br /> EVERETT� WASHINGTON 98201 <br /> (206) 259-8800 <br /> Receipt N � �� • Date Paid �-��G�i, <br /> �_ Cost of Work Order $ 3643 Work Order � �2 <br /> Cost of Service Order $ Service Order N <br /> Requested By: Gordon Witcher _ _ Date of Request 7-29-88 <br /> Property Owner (name) Hol 'dav Retirement Corn <br /> Charge Cost to (name if different than owner) <br /> Address �747.-12th St. S.E.__ State Sa?.em. Oreaon Zip 97302 <br /> Installation Location 3915 Colbv <br /> Installation type/descriptionjsize/etc. Excavate hot tav main, install <br /> einina and fire hvdrant restore area Make final hook-un in 3900 bleck <br /> of Wetmore. <br /> The following estimate is based upon the Utilities Division providinq <br /> all labor, equipment, materials, restoration, and final hook-up. A <br /> double check valve assembly for temporary service is available from the <br /> City's Permit Counter by requesting a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estimated cost is not sufficient to cover the total expense <br /> for labor, material, equipment rental and administrative costs, the <br /> deficit shall be charged to the property for which such installation was <br /> made and the owner thereof, and provided further, that any excess <br />' payment shall be returned to the person applying for the installation. <br /> It�mis�d Cost Satimata: <br /> Labor & Overhead 1120 cc: Tim Tyler <br /> Material 2153 Don Weitkamp <br /> Equipment Ftental 270 Larry Crawford <br /> Surface Restoration 100 Bob Chervenell <br /> Service Order Cost Clair Olivers <br /> Total 36�3 <br /> Prepared by O. Don Wahl <br /> �r2� Revised 3/15/88 <br />��� <br />