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COST ESTIMATE SHEET <br />Publ(c Works Depariment <br />Streets Division <br />3200 Cedar Street Everett WA 98201 <br />425-257-6821 <br />Fax 425-257-8882 <br />Date <br />Worn Order # <br />Service Order # <br />RECEIVED <br />AP? U 4 2005 <br />OPERATIONS & <br />MAINTENANCE <br />�_ 30 -OS <br />Contact Person -�i�n,u•e %17%~*=i���/ Telephone # `�1 �� % 7� h � <br />Requested By�j�� /'� <br />Property Owner (Name) ���'D�C /1?`�.TNl�s�� — <br />Address:_/�—��C/��-�i�-- City �,iH,c,E: � Zip %���e / <br />Installation Location �c.v� _ �� � 5��-��� �� ��'=% <br />Installation type/description/size/etc.<S� ���w2czs ��X� �X y �� — <br />.s1�"�'S' ;rv �"=Y`�.5� .' �" <br />[X] The foilowing estimate is based upon the Street �ivision work group providing all labor and equipment. <br />Prepared by: <br />Accepted by: <br />Itemized Cost Estimate: <br />Labor & Benefifs <br />Matcrial <br />[quipmenf Rental <br />Surfa�e Restoration <br />Sales Tzr. <br />TOTAL <br />� <br />��`s c� "� <br />/� �OS C�v,v�:1,=�r � ii� /� <br />� <br />-- � c,',�y ��ys i=�,,t <br />C�.SG'S ',,�.� <br />� <br />f � gy� �-" <br />�Q/Jpi uS <br />L�/i,eD �%79�✓}r�✓ Date Estimate Prepared: �— 3'� - D• <br />i� ;, j^'(,z � � (, Representing: <br />(signaturc) <br />ESTIMATE GOOD FOR 6 MONTHS <br />� Estimate Only <br />DO NOT SEND CHECK <br />Cc Tom Thetford <br />Mark Sadler, P.E. <br />;z.Ani'.,n�.nunA�Icd�nl\STREETSVICQSi FsiIIAATP: SIIPIiT Ja< <br />