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' �� �; �1 f� �1 I � r� -� <br /> .7 ;_ .' i.: ;.: �',i'i PUBLIC WORKS DEPARTMENT <br /> ( UTILITIES DIVISION <br /> C08T E9TI![ATE B8EET ��i'1� 19QZ � 2300 CEDAR STREE': <br /> EVERETT, WASHINGTON 98201 <br /> " " . .... (206) 259-8800 <br /> CITY OF EVERETT' <br /> Receipt / PuGlic VJorks DepL Date Paid <br /> �_ Cost of Work Order 5 4006.00 Work Order f <br /> Cost of Service Order $ Service Order / <br /> Contact Person: Brooks Telephone {' <br /> Requasted By: Allen Hemat Date of Request 10/12/92 <br /> Property Owner (name) nilen Hemat <br /> Charqe Cost to (name if different than owner) <br /> Address 4301-200th St. S.W. City Lvnnwood Zip 98036 <br /> Installation Location 1611 Everett Ava Everett. WA 98201 _ <br /> Installation type/description/size/etc. Fxcavate 6�� main tan with <br /> 4" Lav 20� of 4" D I and restore acea <br /> [X] The following estimate is based upon the Utilities Division <br /> providing all labor, equipaent, materials, restoration, and final <br /> hook-up. <br /> [ ] The following es:imate is based upon the Street Division work group <br /> providing all labor, equipment, materials and restoration to <br /> property. <br /> Whenever the eetimated coet ie not eufficient to cover the total expenee for labor, <br /> materinl, aquipnent rental and adminletrative coete, the deEicit ehall be charged Yo <br /> the property for w�hlch euch Snetellation vae made and the ouner thereof� and provided <br /> furthar� that any exceee payment ehall be returned to the pereon applying for the <br /> inatalletion. <br /> Itemiaed Cost Estimate: <br /> Labor 6 Overhead 2560.00 cc: eldg. 2ermit councar <br /> Clair 011vers <br /> Matetial 584.00 Tom Thetford <br /> Don Neitkamp <br /> Equipment Rental 672.00 Rirk arook■ <br /> Gordon Hitcher <br /> Surface Restoration 190.00 0. uon Wahl <br /> Dan Lowell <br /> Total 4006.00 stan Mitchall <br /> Prepared by John Garz� <br /> Accepted by � Representing <br /> e�r1.J Wpa/fl <br /> ).�OOUSs�t <br />