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COST ESTIMATE SHEET <br />Receipt # <br />Cost of Work Order <br />t/ Cost of Service Order G".r <br />Contact Person <br />Requested By e: <br />Property Owner (name) <br />Charge Cost to (name if different than owner) <br />Address <br />Installation Location le <br />Installation type/description/size/etc. <br />City <br />Public Works Department <br />Utilities Division, 3200 Cedar Street <br />Everett, Washington 98201 <br />(425)257-8800 <br />Date Paid <br />Work Order # <br />Service Order # <br />Telephone u <br />Date of Request <br />NC <br />22bf' --'4 S G/�u/�"/ e/1 ,55 2« e� , /vsr <br />The following estimate is based upon the Utilities Division providing all labor, equipment, materials, <br />restoration, and final hook-up. <br />(-] The following estimate is based upon the Street Division work group providing all labor, equipment, <br />materials and restoration to property. <br />Please notify the City of Everett Utilities Division 10 working days in advance of required installation date to <br />allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property for which such installation was made and the owner <br />thereof, and provided further, that any excess payment shall be returned to the person applying for the installation. <br />Itemized Cost Estimate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />TOTAL <br />Prepared by: <br />Accepted by: <br />i EXeve) <br />�oov. c0 <br />CIO <br />cc: Bldg. Pem:it Center <br />Clair Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paul McKee <br />Gerry Crum <br />Date Est. <br />Prepared: Representing: <br />ESTIMATE GOOD FOR 6 MONTHS <br />COSTA MI (ICESSISTRIREVISEOL\Iv917) <br />