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/ ✓Va N\��11n�� L <br />C08T ESTIM7ITE BHEET ��r r yrr+UTILITIES DIVISION <br />��� 2300 CEDAR STREET <br />, � E�ERE'1"P� WASHINGTON 98201 <br />, (206) 259-8800 <br />Raceipt # � � � � (p-�g <br />_� Cost of Work Order <br />Date Paid � <br />Work Order # � <br />Cost of Service Order $ Service Oider # <br />Raquested By: /�7'Lt � Date of Re <br />quest �'� �8 <br />Property owner (name) <br />Charqa Cost to (name if different than owner) <br />Address <br />Installation Location <br />_ City 2ip <br />'''�/y,{ �-e /a" � �in.v <br />Installation type/description/size/etc. i K� Tif /� �,�0 ? O� <br />�� 1 / • <br />� �� � 1 .L (/� �/ i✓ r'L.n 7'� � .. c 7� � i/ w � � • <br />The followinq estimate is based upon the Utilities Division providing <br />all labor, equipment, materials, restoration, and final hook-up. A <br />doubla check valve assembly for temporary service is available lrom the <br />City•s permit Counter by requesting a Hydrant Use permit vith an <br />additional deposit. <br />Whenever the astimated cost is not sufficient to cover the total expense <br />!or labor, material, equipment rental and administrative costs, the <br />delicit shall be charqed to the property for which such installation was <br />made and the owner thereof, and provided further, that any excess <br />payment shall be returned to the person applyinq for the installation. <br />ituis�d Cost Estimat�: <br />i.abcr � Overhead <br />Material <br />Equipment Rental <br />Surface Restoration <br />33 70 <br />li3�3 <br />�y/ <br />��G <br />Service Order Cost <br />Total � Z�/ <br />Prepared by %� � ,QJ� � <br />� <br />Tim Tyler <br />Don Weitkamp <br />Larry Crawford <br />Tom Thetford <br />Clair olivers <br />Revised 3/15/88 <br />� <br />