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n � � (�O �� i PUBLI�ILITIESEDIVISION <br /> u J U <br /> COST ESTIlIATE BHEET j 2300 CEDAR STREET <br /> W MAR 18 �gr� ,� �ERETT, WASHINGTON 98201 <br /> .�......................... . . (206) 259-8800 <br /> CITY OF��EVERETT.... <br /> Receipt f Date Paid s c�-�� <br /> P�Wic {Norks Uept. <br /> __ Cost of Work Order $ Work Order �' <br /> �_ Cost of Service Order $12.496.00 Service Order � <br /> Cor7tact PersoA:_ Jeff Moore Telephofle # 259-9191 <br /> Requested Sy: _Kirk Brooks Date of Request 03/10/�_ <br /> Pr.operty Owner (name) Providence HosDital <br /> Charge Cost to (name if different than owner) Botesh Nash. xat7 <br /> Address _g206 Hovt ve City �verett. WA Zip 98203 <br /> Installation Location _Nassalf and Paci �c 916 Pac 'f;� <br /> Installation type/description/size/eto. �xcavate Ta� 8" Main with 6" <br /> Tau, insta� l 6" Meter and Vault Rper�,-e area <br /> [Xj The following estimate is based upon the Utilities Division <br /> providinq all labor, equipment, materials, restoration, and final <br /> hook-up. <br /> [ J The followinq estimate is based upon the Street Division work group <br /> providinq all labor, equipment, materials and restoration to <br /> property. <br /> Whenever the e�timated eoet i• not �ufficient to cover the total expense for labor, <br /> material, equipment rental and •dmini�trative coots, the deficit shall be charged to <br /> the property for which •uch inatallation wa• made and the owner thereof, and provided <br /> further, that any exceas payment ehall be returned to the person applyinq for the <br /> install�tion. <br /> ItemizeQ Co�t Estimate: <br /> Labor i� Overhead S3840. 00 cc: s1aq. permit counter <br /> Clair Olivers <br /> Materlal 7486.00 Tom Thetford <br /> Don Weitkamp <br /> Equipment Rental S 970. 00 Kirk arooks <br /> Gordon Witeher <br /> Surface Restoration $ 200. 00 Don wahl <br /> TOtal Dan Lowell <br /> ]2 96. 00 Stan Hitchell <br /> Prepared by John Garza 6�� <br /> Accepted by Representing <br /> a.,.n.e OB/I6/9] <br /> JGB70[ST (014]-92) . <br />