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i <br /> /z�� cw,�� '� <br /> PUBLIC WbRKS DEPARTMENT ; II <br /> UTILITIES DIVISION i <br /> C08T EBTIMATE BHEET . 2300 CEDAR STREET I I <br /> EVERETT, WASHINGTON 98201 � <br /> (206) 259-8800 � <br /> Receipt # ��J°a �� Date Paid I -IFs-�() 1 <br /> � <br /> ^� Cost of Work Order $ 3�� Work Order # �3 l a <br /> Cost of Service Order $ Service Order # <br /> Requested Hy: �� � ra 0� 5 Date of Request <br /> Property Owner (name) <br /> Charge Cost to (name if different than owner) <br /> A�?dress City Zip <br /> rti S?r-�c r w•-s r o F _ <br /> Installation Location S � � ��.�. ed � <br /> Installation type/description/size/et��i54�T �� �` S�. a�` 2. � � <br /> 1+20�%�- u.e.r•�� f�/-�-+� wao d ;! o K+. �1rl�'-c w.9-� � t� 7`q// /(, o � o F <br /> �� � �'J a 1�. �eTk,C.r �.e L,�,y't�v�,.1 f}i n, ,�.m e r�S)`dre..0 <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 tt.e <br /> City�s Permit Counter by requesting a Hydrant Use Permit with an <br /> - . . <br /> a3ditional deposit. . . ,., <br /> Whenever the estimated �ost 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 w;�s <br /> made and the owner thereof, and provided furt}ier, that any excess <br /> payment shall be returned to the person applying for the installation. <br /> Itemized Cost Estimate: - - - -- .. <br /> Labor & Overhead � 3 SZ ' cc: Susy Haugen I <br /> ,J , � � Tom Thetford ' <br /> Material 7 r,l/ 0 Don Weitkamp ' <br /> Larry Crawford <br /> Equipment Rental 00 • Clair Olivers <br /> Surface Restoration �� d • . .. <br /> service Order Cost <br /> Total ��Q 7 3 . _ <br /> Prepared by _Q � «/G✓1,/' � <br /> Revised 12/5/88 <br /> Gw5 "�'� -'r /�t.t w 5 y �'J ''`- �'� .�/�.f t <br /> ��� s--o . � 5���� .� �-��L. - . - - - <br /> �� �- J d ; 7� o � . <br /> i <br /> I <br />