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COST ESTZHATE SHEET <br />Receipt � <br />Cost of Work order $/� B�t.S. �'3 <br />PUBLIC WOF.KS DEFARTPIENT <br />UTILZT_IES DIJISIOV <br />2300 CEDAR �TR£ET <br />EVERETT, WASFiINGTON 9�201 <br />(206) 259-F600 <br />Date Paid <br />Work Order # <br />Cost of Service Order $ Service Order # _ <br />Contact Person: �d �� e.,� {.���P"+A.� Telephone �'f S'/ - 3 3 6 6 <br />Requested Sy: /T��e./L �7P..icK5 Date of Request 6 5- 9�— <br />T.c <br />Property Owner (name) �'a � �� �� �`n�+'"� � �� 9 /fl9s.=s�. �ai7,t L rJrX F8'a/� <br />Charqe Cost to (name if different than owner) <br />Address <br />Installation Location <br />City <br />/ <br />Zip <br />,,� ioe ,. <br />installation type/description/size/etc. .t KCf1�A(� i^��%fJLL 6 M�'a. ��yd��� <br />. „ ., . . <br />.9�•/t� !�d o f' � P��flS/�G uJ� �h / c3LnwoFf H�Jc/ ES(ai2E'tQieE� <br />[✓j The following <br />providing all <br />hook-up. <br />estimate is based upon the Utilities Division <br />labor, equipment, materials, restoration, and final <br />[ j The following estimate is based upon the Street Division work group <br />providing all labor, equipment, materials and restoration to <br />property. <br />Whenever the eetimated oost ia not sufficient to cover the total expense for labor, <br />material, eqvipment rantal and administrative coets, the deficit shall be charged to <br />the property for which sueh inatallation was made and the owner thereof, and provided <br />further, that any exceee payment ehall be returned to the pereon applyinq for the <br />inetallation. <br />Itemized Cost Estimate: <br />Labor & overhead <br />Materia.l <br />Equipment Rental <br />SurEace Restoration <br />ro <br />�6a���� <br />.3'/3�,�0 <br />1 �(3�•Jd <br />SOU.o� <br />Total i AX�� �� ss• � <br />Prepared y - �^- <br />cc: Cheryl Fontair.e <br />Clair olivers <br />Tom Thetford <br />Don Weitkamp <br />Kirk Brooka <br />Gordon Hitchcr <br />O. Den Wahl <br />Dan Lowell <br />Stan Hitchell <br />:� Accepted by ___ Representing � � ____._ <br />,�,�.,.. <br />