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COST ESTIMATE SHEET <br />Receipt # <br />Cost of Work Order <br />Public Works Depattiment <br />Utilities Divides, 3200 Cedar S&m <br />Everett, Waehhagtoa "201 <br />(425) 2574WO <br />Date Paid <br />Work Ord,:r # <br />t/ Cost of Service Order i?Z qp Service Order # <br />Contact Person /,! Mz,# r/ Telephone # zew—cGplo/ <br />Requested By /,t2 4?10e2'A-P-.< S Date of Request eii Z-/rf <br />Property Owner (name) , j e . 4AnL7 V <br />Charge Cost to (name if different than owner) <br />Address -570 We /3l0/1C- City g!F64/Qr Zip <br />Installation Location - <br />Installation type/description/size/etc.~ii/I �4"�/'icE_ f✓FitsE 6'//i/i✓ o.✓ S ��bc <br />3r,& /+77/fio lWXV-Ze. A0A1W i. v/hrf_ G�i.Y .4x/� �'00 %`) S/"1 ,0gA4c. <br />ell <br />rr<6�� r.i 11u�1/sE .?i1u�'EA.9�� �'A,��E �/.✓i1Z <br />.vvez�lorn �rz�L �poft�' <br />The of owing es tmate �s ase upon tilities 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 notify the City of Everett Utilities Division 10 working days in advance of required installation date to <br />allow for scheduling and parts procurement <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property for which such installation was made and the owner <br />thereof, and provided further, that any excess payment shall be returned to the person applying for the installation. <br />"Deposit must be paid prior to ordering parts or scheduling work. <br />Labor tit Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />TOTAL <br />Prepared by: <br />Accepted by: <br />COSTAGNO ('CESMSMKMSEDL%11'7) <br />Z/bD. G'D <br />4(FFP_ Ov <br />Date Est. <br />Prepared: <br />cc: Bldg. Permit Center <br />Clair Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paul McKee <br />Gerry Crum <br />Alan Locke <br />Representing: <br />