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' COST ES <br />Rxeipt M <br />:�� <br />Cost of Waic O�der <br />d Cost of Service Otder 253.00 <br />Contact Pason <br />Requernd By �iOrdOn WltChsr <br />Rope+ty Owna (nart�e) RIddN <br />Chvge Cost to (name if difiaent than owner) <br />Address <br />City <br />P�6Hc Woeb D�wt <br />UtBltta 11hYb� 3ZN Cear Steat <br />E�erett, Waii�oN f�l <br />(1� 2S7•�IN <br />Work O�der N <br />Servia O�der N <br />Tekphone N <br />Date of Request 9-bOZ <br />Zip <br />Installarion Location 1514 HollowdaN PI <br />LuWlatian type/description/aizdetc. Lot 6 servlC�. Install Ntt�r erld It�ab� on d�wlopMs mdn. �li" <br />❑ 'Ibe following estirt�ate is based upon the Utilities Division providing ali labor, equipmaN, mate�ials, <br />restaation, and final hook-up. <br />W�oeKr fie atlmNcd cod h eot sa�deot to ewer t6e IotW apeese tor I�bor, er�nid, eqd�st reN�l �d <br />adde4trathe easb, He desek �W be ch�rsed to t6e property far whieh aei i�dad�Ho� we �d� ad 1�e ew�r <br />tbeeeat, ud providtd lhrfber. Wt ao� exeer p�ymeal a6d Ee relorned te t�e pe*sN �pp4iK tor IYe I�M�Niaa <br />� ��� � � , � �� � <br />� . � • r �I •_ . ! � � • • r.� l.� � . � L� � � • � � r <br />Material <br />l.abor and Benefits <br />Equipment Rental <br />TOTAL <br />Prepared by: <br />Accepted by: <br />��� <br />160.00 <br />68.00 <br />25.00 <br />5253.00 <br />Date Est. <br />1 �: .� <br />��7 <br />ce: Hldg. Permit Centa <br />Muk Sdkr <br />Kirk Brooka <br />(iadon Witcha <br />Robat Weddk <br />Stan Mitchell <br />Paul McKee <br />Gecry Gum <br />Alan C.ocke <br />Representing: <br />._2_ o[� <br />�L°J <br />