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COST ESTIMATE SHEET <br />Receipt ff <br />Cost of Work Order 317L/, <br />Cost of Service Order _ <br />Contact Person <br />Requested By ei/1,tG oeoeww_s <br />Property Owner (name) TT 4/A'Vdf- <br />Charge Cost to (name if different than owner) <br />Address '35pe/ 14p 4p*F- <br />Public Works Deprbeent <br />Utpltles Division <br />3200 Cedar Street <br />Everett, WaaYigtoa Mill <br />(206) 29MM0 <br />Date Paid <br />Work Order N <br />Service Order N <br />Telephone N 56W- ?-'7/9 <br />Date of Request 6 S 9(v <br />City (rs1rE77- ZtpW/ <br />Installation Location TjiQEF ►---- <br />Installation type/description/size/etc. it►ss c ' .tifiT 77� /.r/�« GAL �'�i rtS •sr� <br />&s2 B ei*e ll ,r.'Ar - &*W'0tttW_ -AV ie hue— e7/rm r%SSsari.* sw a*- <br />❑ The following estimate is based upon tl a Utilities Division providing all labor, equipment, materials, <br />restoration, and final hock -up. <br />The following estimate is based upon the Street Division work group providing all labor, equipment, <br />materials and restoration to property. <br />Whenever the estimated cost Is not sufficient to cover the total expense for labor, material, equipment rental end <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 n.. 1ment shall be returned to the person applying for the installation. <br />Itemized Cost Estimate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />Sales Tax <br />TOTAL <br />6�;Oif co <br />7 �o <br />ZZ2�. oo <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 />Prepared by:ate Est. <br />Accepted by: PlspB[sd: Representing: <br />G-S-rG <br />FATiMAT GOOD FOR 6 MONTHS <br />WSTA6 ICEMSTa a.AnNN5) <br />