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/ ..�.. .a��u��.�� a <br />COBT E8TIM71T19 BgggT -"'• ��r r ry UTILITIES DIVISION <br />� pac.,2300 CEDAR STREET <br />(y /�/ EVERET'. WASHINGTON 98201 <br />(206) 259-8800 <br />Receipt # 131—I (o—�7S' nate Paid � <br />�. Cost of Work order $�C� Z�" Work order #�� <br />Cost of Service Order $ Service Order � <br />Requested By: /�L � Date of Request /y -g8 <br />Property Owner (name) <br />Charge Cost to (name if different than owner) <br />Address City Zip <br />Installation Location 9 � ����-C 7`'a /o � � �/ h ,e <br />Installation type/descziption/size/etc. i K� Ti4// ��� '� G,c <br />�'� . <br />o n. �• �P ; ., � f � GL y ,✓ r-L,,, �- , ., � x .. ,� a T, : <br />The following estimate is based upon the Utilities Division providing <br />all labor, equipment, materials, restoration, and final hook-up. A <br />double check valve assembly for temporary servica is available from the <br />City�s Parmit Counter by requestinq a Hydrant Usa Permit with an <br />additional deposit. <br />Whenever the estimated cost is not sufficient to cover the total expense <br />for labor, material, equipment rental and administrative costs, the <br />daficit shall be charqed to the property for which such installation was <br />made and tha owner thereof, and provided lurther, that any excess <br />payment shall be returned to the person applying for the installation. <br />it�mia�d Cost satimat�: <br />Labor & Overhead <br />Material <br />Equipment Rental <br />Surface Restoration <br />33 70 <br />!i3/3 <br />7y <br />�!�G <br />Service Order Cost <br />Total � <br />Prepared by �� � ,('/G�� <br />�: <br />Tim Tyler <br />Don Weitkamp <br />Larry Crawford <br />Tom Thetford <br />Clair olivers <br />Revised 3/15/88 <br />� <br />