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CQST ESTIMATE SHEET <br />R:�celpt • QSLI � 1 <br />Cost of Woric Order = <br />Cost of Service Order t 3 9S`/ <br />RequO�ted by /�i / /��x. o . <br />Property Owner (neme) - <br />Cherge Cost to (neme tt dii�� t tpe�o� <br />Address (� <br />City ���'fY_ • Stet <br />Installe2ion Location _ `� O� `��' �'ti�.c��� <br />Installot�on typ�/description/size/etc. � <br />pu$r,1c wos�cs �.ui.�t,�rr� <br />u�r,ti� m.vtis�u,-rr <br />aaoo c�fl,v�, s�? <br />f�:Ef��?7, W.i 98201 <br />t206)2S9-8821 <br />Dete Paid -- 3� �"'�� <br />Wurk Order • <br />Service Order • �"7 � <br />Dete of Request <br />� <br />2ip <br />The follovtnq estimote ia based upon the Utitities Division proyidinq oll labor� <br />equipment, materlais, restoration, and final hook-up. A double check valve assembly <br />for temporary aervice is available from the City'� Permit Counter by requcstinq o <br />Kydranl Uae Permit vith on addittonal depoait. <br />Whenevbr tt�e eatim�oted coat is not sufllcient to covcr the total expen�e for labor, <br />materia�� equipment rento! and adminiatrative costa� the deficit �holl be charqed to <br />the property for which auch inatallation va;a made and tha ovner thereof, and provideeJ <br />f��rther� tHat any exceae payment aha11 ba returned to thn peraon applyinq for the <br />inatoliation. <br />Itemized Cost Estimate: <br />lebor � Overheed � y ° a <br />Meteriel 2 y3 <br />Equipment Rentei � � � <br />Surfece Restoretion / o 0 <br />Service Order Cost <br />1'otal 39 S y <br />Prepered by _ � • c��-� �' <br />cc: Larry Cetiehan <br />Don Weitkamp <br />Lerry Crewfflrd <br />Bob Chervenell <br />Clair Olivers <br />Revised 3/ 13/87 <br />