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� H PUBLIC �40RK5 DEPARTidENT <br /> m <br /> UTILITIES DIVISION <br /> � 2300 CEDAF2 STREET <br /> � � y � COST ESTIMATE SHEET �- <br /> EVERETT, WASHINGTON 98201 <br /> � � (206) 259-5800 <br /> �v � ° Receipt : Date Paid <br /> N N <br /> � � �e Cost of Work Order $ Work Order ,� <br /> z n � 0 Z Service Order � <br /> � �c � _� Cost of Service Order $J�7 <br /> � .�i � Contact Person: Telephone # <br /> � o N Requested By: �� � /� 1� �'�� �l5 Date of Request <br /> � �1� � - Property Owner (name) l�u=-,rt7/` Scl�oa 1d d� ST '� z- I <br /> p N <br /> Charge Cost to (name if different than owner) I <br /> - Address <br /> G{ 7 j o C o�lv /�r/-e City ��.�>�� Zip C1 ftl o � II <br /> �o�EE J3 4. `�z.�o <br /> � Installation Location ��G �'� ` � t � r� � t <br /> Installation type/description/size/etc. � J`A /�e o v � ST+'.,� > 1 � do<.,��i�"� <br /> !,.elf��'��'��'I�h � e G �� N T 7j�.� ti )7'R i I L�.a-u /f C r� r T'�r- � �.e�� Avi d r �S 7vr e Ar-� � <br /> i <br /> ' [7C] The following estimate is based upon the Utilities Division <br /> providing all labor, equipment, materials, restoration, and final <br /> � hook-up. <br /> ( ��� „ [ ] The following estimate is based upon the Street Division work group <br /> providing all labor, equipment, materials and restoration to <br /> 1 f�� :, property. <br /> _- , <br /> � Whenever the estimated cost is not suEficient to cover the total expense for labor, <br /> �: material, equipment rental and administrative costs, the d�ficit shall be charged to <br /> '�� � the pronerty for which euch installation was made and the owner thereof, and provided <br /> i � � further, that any excess payment sha11 be returned to the person applying for the <br /> � <br /> installation. <br /> �,�1 � itemized Cost Estimate: y !{ 8� <br /> Labor & Overhead � cc: cheryl Fontaine <br /> Clair Olivere <br /> ° � ' �p� 0 8 Tom Thetford <br /> �1 � . Material <br /> �}- Don Weitkamp <br /> � , � EQll1jJID0Ilt ReIItdl � � �' 1 Kirk Brooks <br /> Gordon Witcher <br /> '�' Surface Restoration � ��� o. �on wahl <br /> ��. Dan Lowell <br /> .i��4� _� I � oz' ' Stan :4itchell <br /> Tot a 1 �rr�-�• <br /> Prepared by � <br /> Accepted by Representing <br /> ...,...��,..,., <br /> i <br />