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COST ESTIMATE SHEET <br />Receipt # <br />Cost of Work Order <br />�_ Cost of Service Order Z QJ�'!, � <br />Conta:t Person <br />Public Works Department <br />Utilities Division <br />3200 Cedar Street <br />Everett, Washington 98201 <br />(206) 259-8800 <br />Date Paid <br />Work Order � <br />Service Order n <br />Telephone # <br />Requested By �p2�o.� LUiT��/r�Z Date of Request -J�^��-9�j <br />Properry Owner (name) ��=3 �Gfi��./.A'Q — <br />Charge Cost to (name if different ihan owner) <br />Address '�/�UU C��I�LE'--✓C/ <br />Installation Location -�'/ �OD �t.UG.�_ <br />Ciry G!/��/�E/% ZiP <br />Installationtype/description/size/etc. ��SC/Z'/L/A/.� /Gt�.�EB" /�o� %jI)'� /i�STlYLL <br />�, ".�i .O�cc Ti��'l�f� 1�,�••rLsi� � /vs?ira�.c� // � � ///s?�'.-�G. B " Ll C/� � <br />E!7' /fiiv7l ,G, iGf./ �.5'T7,2�� �.Dc•r• .L•�• <br />�]� The followmg estimate is based upon the Utilities Div�s�on providing all labor, equipment, materials, <br />restoration, a�.d final hook-up. <br />� The following estimate is based upon the Street Division work group p'rovidin� all labor, equipment, <br />materials and restoration to properry. <br />Whenever the estimated cost is not suffcient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property Cor which such installation was made and the owner <br />thereof, and provided (urther, that sny eccess payment shall be returned to the person applying for the fnstallation. <br />Itemized Cost Esiimate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />Sales Tar <br />TOTAL <br />�13Z�. v c> <br />5'/S�i, v v <br />/lo�'/c. OD <br />IOy ; OU <br />1Z, D�9.a_� „� <br />cc: Bldg. Permit Center <br />Clair Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paw McKee <br />Gerry Crum <br />�i(/D7� _ �,r1i2Zr.'c?G.C� � f%,rrl,c�rst/ ."',v� �.✓s�J?'t c� i�.�.'�/c T. .�c"!c,uGs�2L' <br />�UL % �O� � �ii��/—Li� L�/T�/ T2 -33Z P L�t�. <br />�T��,T.� - v <br />Prepazed by: /'r�,e�/ �Gt�.r, Date Est. <br />Accepted by: Prepared. Representinc: <br />�0 2-9G <br />ESTIMAT@ GOOD FOR 6 MONTHS <br />cosrncnv�.!cE�+srx n-wroros� <br />