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COST ESTIMATE SHEET <br />Receipt # <br />Cost of Work Order <br />Pnblic Work� Department <br />UHliHes Division, 3200 Cedar Street <br />Everctt. Was6iogtoo 98201 <br />(azs� zs�-asoo <br />Date Paid <br />Work Order # <br />✓ Cost of Service Order Z��J� CO Service Order � <br />ContactPerson /�j/L�r,/�rZ /�A.ve.,�c/L Telephone # BZZ_`'BS� <br />Requested By �p,��,vll/iTr',.t/aZ Date ofRequest 8-�l.-4� <br />Properry Owner (name) Sc7�ia2 .Sr32li/G� o� �vo. �. <br />Charge Cost to (name if different than owner) <br />Addrcss �ZZS-���.�ivc' %!� �O ��tY l//vt7�a Z�P 1��Z�.S <br />Installation Location ///,�-/2A/�t/id2 �7YE <br />Installation rype/descriptionlsize/etc. /�T 77yyo ��,v��ii$7YDd, EPoSE lo"' �71i9/d /�/ <br />�o�� fh2, fibT iR� /��STAz� tb,un?s� /.4c✓E ¢� BoX. ,�EL��7� �C� A 7a {'AiicT � <br />itJA,�� i'-%vA�c.. C�.vv �CTiod �f'i�+'L �i/1 ir�i /.vs7fiu- /1Hl�ol� ArEJ9Z ev �,� <br />� The following estimate is based upon the Utilities Division providing all labor, equipment, materials, <br />restoration, and final hook-up. <br />� The following estimate is based upon the Street Division work group providing all labor, equipment, <br />materials and restoration to property. <br />Please ootlfv the Citv of Everett Utllitia Division 10 workio¢ davs in advance of reauircd installatioo date to <br />allow� for x6edulio¢ aod oarts orocurement <br />Whenever the atimated cost is not su(ticient to cover tAe toal expense for labor, material, equipment rcntal aod <br />adminutntive cosb, the delicit shall be chsrged to the property for which such inshllatioo wu made and the owner <br />t6ercot, aad provided further, that any excw payment shall be rcturned to the penon applying for the iostallation. <br />Itemized Cost EsHmate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />TOTAL <br />�Qc�, O D <br />��7`ir OD <br />�i�1�/, o0 <br />Z�Zo.Oo .� <br />cc: <br />Bldg. Pertnit Center <br />Clair Olivers <br />Tom'Ihetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan �titchell <br />Paul McKee <br />Gerty Crum <br />�.(/a7E: I-,�7 T�Ir; l�C� ,eEZ�A�lod.q,,eD ��.vc �o.�a�7�o.�J D��Y- Z'� 1�n• <br />SQLv/�E i5 C�o� /.t�ST�i-� fN/� w/� /2�U//1� c�A�rE •S'.�G�, <br />Prepared by: <br />Accepred by: <br />COSTAG�D I'CESMSTRIREt95EDL�1aVN11 <br />Date Est. <br />Preoared: I Representing: <br />y z-9�- <br />