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931 PACIFIC AVE 2016-01-01 MF Import
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931 PACIFIC AVE 2016-01-01 MF Import
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Last modified
2/25/2017 5:26:48 PM
Creation date
2/25/2017 5:26:23 PM
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Address Document
Street Name
PACIFIC AVE
Street Number
931
Imported From Microfiche
Yes
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• Request for Biliing �o��crzoia <br /> Cost worksheet <br /> To: Finance Department • <br /> From : Street Department <br /> 931 Pacific Ave , _,- , �_. .... .._ ._ _ . .... � „� Bill to. Peter Agnos <br /> Date of Service: 09/16/14 19017 9tfi PL NW <br /> . , - , - -- • - -- - - Seattie, WA 98177 <br /> Description of work per(ormed: <br /> Contact Person : <br /> 5idewalk Replacement Streec�epc Supervisor <br /> Bob Sor en 425 257•8639 <br /> ._. .. „ , _ . : <br /> —, � ' . - ' " - � - <br /> W/0#� ?0143113 --_ . _ . _ `i � , <br /> -- ._ ._. _ , : , _. <br /> - ' ''` . , , <br /> Labor _ _ . _ . ._ _ _ __ .. 50.00 <br /> Benefits (29% of Labor) S0.00 <br /> Sub Total �or Labor 50.00 <br /> Total Labor .: -1 , _ _ _ _ _ . . ' , . S0.00 <br /> Materials 50.00 <br /> N/A Materials (Concrete 6.75 yrds @ 586.50 per yard) 5583.87 <br /> Equipment �0.00 <br /> Sub.Total� � .. .., .. . • • - - . . �� "�� . - . 5583.87 <br /> . : y:. ', .."� .ti 4, tr t r�- � �'*M1 . . <br /> 4 r .G {. ., .. <br /> �z � `�* . .'�� - .. , , ..�� � . . ... _ . . .,. . <br /> Balance Due � 5583.87 <br /> ' _;-r ' - ' e - �� :i <br /> „ — -��.-. ' _. . } <br /> . <br /> -:. ... �- ,:. .�,�, . <br /> . _ _. <br /> , <br /> . . . - �, •. . . ';,` _, -�. <br /> � ,. . . : :.�. :�. ..,. - . i '. . �.. .:. . -. _ . . � . <br /> . + . . . , .. . _..... . , ,. .., , . .. . �� . . . ., .. : .. . .. <br /> DR-120-1220000000 <br /> CR-120-3699000000 <br /> Signed:� LC�1 '1 L. ` ,�%� , • <br /> �� <br /> Approved: <br /> Jeff, please send copy ct invoice lo Matt Welborn <br /> costworksheeVexr.ellr.pm <br />
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