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FUBLIC WORKS DEPARTMENT <br />�- UTILITIES DIVISION <br />CG3T EBTIMATE BHEET •� 2300 CEDAR STREET <br />�' � ,.1 EVERETT, WASHINGTON 98201 <br />' ! (206) 259-8800 <br />' �a� - <br />� � '��� '� Date Paid <br />Receipt # � -;: - <br />Cost of Work order ��_ <br />Cost of Service Order $ <br />Work Order # <br />Service Order # <br />Requested By: _�_��e� F5 C �1 Date of Request �a a <br />Property Owner (name) ��%-C <br />e <br />Charge Cost to (name if different than owner) �cF�/lPtrd_/nC, <br />��'jo � � / o�' <br />Address ��11� �l �V City ^ Zip .� <br />� GTq c� <br />Installation Location � Z 5 �� / � G J`—' <br />Installation type/description/size/etc. l�fCr%���'E /7%����t� <br />The following estimate is based upon the Utilities Division providing <br />all labor, equipment, materials, restoration, and final hook-up. A <br />double check valve assembly for temporary service is available from the <br />City's Permit Counter by requesting a Hydrant Use Permit with an <br />additional deposit. <br />Whenever the estimated cost is not sufficient to cover 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 was <br />made and the owner thereof, and provided further, that any excess <br />payment shall be returned to the person applying for the installation. <br />Ztemized Cost Estimate: <br />Labor & Overhead <br />Material <br />Equipment Rental <br />Surface Restoration <br />Service Order Cost � <br />Total <br />Prepared by <br />�"�' ,��;' _�� <br />cc: Tim Tyler <br />Don Weitkamp <br />Larry Crawford <br />Tom Thetford <br />Clair Olivers <br />Revised 3/15/88 <br />