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P,t.T,aLIC WORKS DEPR.RTMENT <br /> �� UTILITIES DIVISION <br /> COBT L8TI14�1TE 88EET 2300 CEDAR STREET <br /> EVERETT, WASAINGTON 98201 <br /> (206) 259-8800 <br /> Receipt N ,l ��1� Date Paid � �, `�'� <br /> �_ Cost of Work Order $ /I�o Work order # � <br /> Cost of Service order $ service order � <br /> Requested Sy: Date of Request /O-Z7-8� <br /> Property Owner (name) l� ���;r,� .S rt} � � � � <br /> Charqe Cost t� (name if different than owner) <br /> 1►ddrass � C�o�.i„ /�n'�i ! City r ,,o,0 f� Lv/¢ 2ip _ 4�20 .�_ � <br /> Installation Location '�/O y �ro�J � n r • <br /> Inetallation type/description/size/etc. 1-�.%`u J`-� ��� � /� o���- � <br /> ( f <br /> The following estimate is based upon the Utilities Division providing . <br /> all labor, equipment, materials, restoration, and final hook-up. A � <br /> double chack valve assembly for temporary service is available from the i <br /> City�s Permit Counter by requestinq a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estimated cost is not sufficient to cover the total expense <br /> !or labor, material, equipment rental and administrative costs, the i <br /> d�ficit 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 /> itqi:�d Cost Estimat�: <br /> Labor 6 Overhead /�� cc: Tim Tyler � <br /> Material So O Don Weitkamp � <br /> i <br /> Equipment Rental L o D Larry Crawford <br /> Surface Restoration 10 0 Tom Thetford <br /> Service Order Cost Clair olivers <br /> ��� <br /> Total /5 o D j <br /> Prepared by �/• ��/� � <br /> Revised 3/15/88 <br /> i <br /> I <br />