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Public Worlcg Department <br /> _ Utilitia Divuion <br /> COST ES'fIMATE SHEF.T 3200 Cedar Street <br /> Everett,Washington 98201 <br /> (206)259-8800 <br /> Receipt # Date Paid <br /> Cost of Work Order Work Order � <br /> ✓ Cost of Service Order �/� Gl�j Service Order� <br /> Conta�t Person �:Tf7,v �7X'iC.�G/1"� 7elephone # �'y3-�� <br /> Requested By �p��,rJ CU?Li;,'_:!L Dare of Request ^ /p-;�-�6 <br /> Properry Owner(name) �icx/�55 ,C3C//�/.�G �• . <br /> Charge Cost to(name if different than owner) <br /> Address 8�/�.�fjyT7�i� City �i jp,.%�[�S Zip ��zp <br /> Installation Location Z�T� �?ififu� � <br /> Installatiuntype/description/size/etc. q-Pp�c,3"�;�p„rJ /��i j�-� /ivG,¢E�c � �,/"" Sc-T <br /> /� /"-' \ --��—� �" , <br /> ,� � <br /> Y� /.!L-��%7�ZL ��� !�, %Aft' 7n /'�c G"� 6��YiES'liG 2c?7L�Zc /�.�L�77. � <br /> ❑ 71ie following estimate is based upon the Utilities Division providing all Iabor,equipment,materials, <br /> restoration, and final hook-up. <br /> � The following estimate is based upon the S�eet Division work group p'roviding all labor,equipment <br /> materi ils and restoration to property. <br /> Whenever the atimated cost is not su�cient to cover the tot�l expense fur laboq materinl, equipment rcntal and <br /> administrative costs, the deficit shall be charged to the property for which such instaliation was made and the owner <br /> thereof,and provided further,that any excess payment shall be returned ta the peYson applying for the installation. <br /> Itemized Cost Estimate: <br /> Labor&Benefits -=L�D• UO ��(L/� <br /> Material zlo`!Z, DO 3�2� <br /> Equipment Rental /✓�32, UU <br /> /���z�� � <br /> Surface Restoretion - �' � <br /> Sales Tax �i��.�O /�����L� �//l� <br /> /� <br /> TOTAL gl�, GY� <br /> �� � <br /> 7��O1�: �f,CS�l.fD7� c��l�c�«�� <br /> �iZ /S;0��� 1�E 7�� <br /> �^'"(�/'v`" //�� Z�l i <br /> Prcpared by: �zclZ,e l �.�s Date Est. �� �-� <br /> Accepted by: PreFared: Represennng: <br /> /o-3/�i'l <br /> �STiMATF.GOOD FOR 6 MONTHS <br /> cosr�c�n:ic�n�stn tiwroros� <br />