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PUBLIC WOR3C5 DEPART:fENT <br /> GTILZTIES DIVISION <br /> COST ESTIHATE SREET � 2]00 CEOAR STREET <br /> EVERETT, tiASHINGTON 98201 <br /> (206) 259-8800 <br /> Receipt �.� � Date Paid �ir�-9C'� <br /> � Cost of Work Order $ _)�.�5 Work Order � �a�o <br /> Cost af Service Ordet ' $ Service Order / _ <br /> P.equested By: �pp� Date of Request �� <br /> � Property Owner (name) ��� ��y iJ�S�jj�A�2J5 <br /> Charge Cost to (name if dlPferent thar. owner) � � <br /> Addr.es��Q�� City E��.�./.L�n Zip q�'kl_5 <br /> Installation Location �,�� SE N.�.dr 1�2� - <br /> Installation type/description/size/etc. ,��r.� �" if TT�o /L �....___'. _ <br /> s G.. r" �.,-� �-°u-•-- a�„ ' .— .��. .��,� <br /> •� �� � <br /> �-`a� a-r-v�. • <br /> The following estimat.e is based upon the IItilities Division providing <br /> all labor, equipment, materials, restoration, and final hook-up. A <br /> dou6le check valve assembly for temporary service is avail��ble from the <br /> City's Permit Counter by reques:ing a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estimated cost is not sufficient to �,over the total expense <br /> for labor, material, equipment rental and administrative costs, the <br /> deficit shall be charged to the property for which such installation wa= <br /> � made and the owner thereof, and provided further, that any exc=_�s� <br /> payment shall be returned to the person applying for the inutallation. <br /> Itemized Cost Estimate: <br /> ;abor S overhead _3 9 Lo cc: Susy Haugen <br /> r Clair Olivers <br /> Material �-L °J Tom ThetEord <br /> E i ment Rental - /rpa Don Weitkamp <br /> 4u P Rirk Srooks <br /> � Gordon Witcher <br /> Surface Restoration /a a <br /> Service Order Cost ' <br /> � Total /�.� <br /> Prepared by �-�,�(�� <br /> . , Revised 12/5/88 <br /> F�ry� <br /> G,. s T.r{,..,- ++�w s Y ��—L h ra-s �e.. �/2� .�5��✓�cE" <br /> '�= D -F�,¢ � <br /> � a f" d.,,,.ti T�� a�M.":;, .�--T f �2� <br /> ' ���� <br />