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� �������L� <br />COST ESTT__'SATE SHEE� � . � <br />• _.�-�_ <br />! ��jy OF EVERETf <br />, p�p�i� Warks Dept <br />Receipt ; _ <br />.�_ cost of Wark order $ �_ <br />Cest of Service Order $ <br />Requested Sy; _ �'�jlyr�/ �f'�'���� <br />� -�=. <br />Property owner (name) _ <br />PIIBL_C nOR?CS DEP.3R'S;•IEiIT <br />UTILITIES DIVISION <br />2300 CEDAR STREET <br />E��=1', ;�r�SHINGTON 98i01 <br />(206) 259-8800 <br />Date Paid _ ���s--I(`� <br />Work order ; �L <br />Service Order n <br />Date of Recruest = _ • <br />Cha'rge Cost to (name if different than owner) <br />Address 1(�'0�� .e �{'71 %lr/7� _ City Everett Zi �_ <br />P <br />Installz.tion Location _'7f� � 1,�� i i ico I l��— <br />Installation type/descrintion/size/etc. � � <br />-.�� �� t1C I.l �'1 <br />��'�L � I IX� �� A�, St7 P� (:r��} ��-� �}�� QN <br />���� <br />The following estimate is based upon the litiliti=s Division providing <br />all laBor, eauinment, naterials, restorz=_on, and f�_na1 hook-up. A <br />double check valve assembly for temoorary se=�ice is avai)_able from the <br />City's Per�tit Counter by recntesting a Fi�drant Use Per�it with an <br />additional deoosit. <br />Whenever the estima�ed cos� is not suPficient to cover the total espense <br />for labor, material, eQuioment rental and administrative costs, the <br />deficit shall. be charged to t�e property for which such installation was <br />made and the owner ther=of, and provided further, that any excess <br />payment shall be returned to the person anolying for the installation. <br />Itemized Cost Estimate: <br />Labor &.Overhead <br />Material <br />r^.c;uipment Rental <br />Sur£ace Restoration <br />SeL-vice Order Cost <br />Total _I � ^�� " <br />Prenared by ��f��� � <br />cc: Susy Haugen <br />Clair olivers <br />Tom Thetford <br />Don Fieitkamp <br />Kirk Brooks <br />Gordon Witcher <br />Revised 12/5/88 <br />� <br />� <br />