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C/iST'ESTIMATE SHEET <br />Receipt # <br />Cost of Work Order <br />_�_ Cost of Service Order <br />Conta:f Persan __ <br />Z UJ-ry. �y' <br />�., Public Works Department <br />' Utilities Divuion <br />3200 Cedar Street <br />Everett, Washington 98201 <br />(206) 259-8800 <br />Date Paid <br />Work Order � <br />Service Order � <br />Telephone <br />Requested By �p,2�o.� /.LJ�T�ifr92.. Date of Request ` 3o-9G <br />Property Owner (name) �i3 ��h/.�1'� <br />Charge Cost to (name if different than owner) <br />Address '�J�UIi G-�z2+���iZJ <br />Instaliation Location <br />Installation type/descri� <br />City y�2E/ Z�P <br />F <br />providing all labor, equipment, materials, <br />' restoration, and final hook-up. <br />� The following estimate is based upon the Street Division work group providin� all labor, equipment, <br />materials and restoration to property. <br />Whenever the atimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the de�cit shall be charged to the praperty for which such installation was made and the owner <br />thereo(, and provided turther, that any excess payment shall be returned to the person applying for the installation. <br />Itemized Cost Estimate: <br />Labor Xi Benefits <br />Material <br />Eyaipment Rental <br />Surfa��e Restoration <br />Sales Tax <br />TOTAL <br />�3Z1�. ov <br />5%S�i, v v <br />llo��i, OD <br />9ay ao <br />/2, p.5 -T>, oo � <br />cc: Bldg. Permit Center <br />Clair Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gardon Witcher <br />Dan Lowell <br />Stan Mitchetl <br />Paul McKee ' <br />Gerry Cnun <br />�.1/v7�: �o,v7,�c;n,e 7a /�-si,�.c�rsN �- <br />UT/�iTl�=S (�h't/�i Lo• s�S���-49 /� <br />Prepazed by: �Gts,., Date Est. p_ �96 <br />Of'T � . 1 <br />Accepted by: PreoTared: Representing: <br />................... <br />/0 Z-�1 �� pITV OF EV'ERET7 <br />Dulldin0 Divic�on <br />FCTiMATE GOOD FOR 6 MOIYTHS <br />COSTAGND'.ICFA1SlR (LN]NNS) <br />.P�C'O.�d.�4 <br />