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COST EST�TE SFiEET <br />Receipt # <br />�/ Cost of Work Order /?�. 00 <br />Cost of Service Order <br />Contact Person /%li�I%% `0�72c5 <br />Requested By ��JjAC/ iU�T�!!%�' <br />Property Owner (name) <br />Charge Cost to (name if difterent than ow�er) <br />Public Works Department <br />UHliNea Divuion <br />3200 Cedar Street <br />Everett, Wuhington 98201 <br />(206)259-8800 <br />Date Paid <br />Wo�k Order # <br />Se;vice Order # <br />Telephone a 3o�r-�� �S3 /,r��E <br />Date of Request S� /Z- j� / <br />Addrcss ��// %d �` �L i(/t City �f�,i/�/��' Zip i�Z,�D <br />Installation Location �/UZ �/Cr%/�LA2E o <br />Installetion type/description/size/etc. Z�j/1ifi,�/ t��i3f/, cxF�DSt Gy.�l �y/�jrG� z'� <br />t�9�,° �u� a� D�,v 7�-�� /�.v�ss ��d� G�evvc�r r� �o,�,,r�.� <br />[�� �The following estimate is based upon the Utilities Division providing all labor, equipmen4 materials, <br />rcstoration, and final hook-up. <br />❑ The following estimate is bazed upon the Street Division work group providing all labor, equipment, <br />materials and restoration to property. <br />Whenever the atlmated cmt is not sufficient to cover the total expense for labar, material, equipment reatal aod <br />ad�sinbtntive cosb, the delfcit sh�ll be ch�rged to the property for which such inetallrtion was mede and the owner <br />tAereof, and provided further, that any excess payment shall be retumM to the person applying for tAe installation. <br />Itemized Cost Eetimate: <br />Labor & Brnefiu <br />Material <br />Equipment Rental <br />Surface Restoration <br />Sales Tax <br />TOTAL <br />�of� OU <br />ZOy OU <br />yG�l o0 <br />/00 � O� <br />1..�.�Or DU <br />cc: <br />Prepared by: �7`�71.e �,e!/�( Date Est. <br />Accepred by: �Aared: Representing: <br />5 Z3-`' <br />u: ��� �• � . <br />COSTAGND.ICENSIRIL\ll�99f) <br />Bldg. Pertnit Cenrer <br />Cla'v Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paul McKee <br />Gerry Ccum <br />