Laserfiche WebLink
COST ESTIA1ATE SFIEE'C <br />Rcccipt N <br />✓ <br />Contact Person <br />Requested B�� <br />Cost of Work Ordcr <br />Cost af Scrvicc Ordcr <br />5.3�%• �� <br />s ��1� c�o <br />��� L �.��y <br />1_� Fl r:.� t�-t.v}"T1._� t�, s <br />Propert� Owncr (namc) <br />Charge Cost to (namc if diffcrcnt than o��mcr) <br />Address 1��7 '/ �O � �' /U.(r, <br />UUl�ucs Livuwn <br />3200 Cedar Slreet <br />Everett, Washin�ton 98201 <br />(206) 259-5800 <br />Datc Paid � ;3��j <br />Work Ordcr # <br />Scn•icc Ordcr t� <br />T�i�Pi,o„� a �03� 8 33� <br />Daic of Request ���i�' /� <br />�»�C'�,.�s�<.%,.,�9 �f✓9- <br />Ci��� ��LC.I%[�F ZiP % �f'OoS <br />sT <br />InstallalionLocalion �A I�LE�-r ✓le� 3AP/tSi C%'lv�"� y717'3�AJc.s�. �AS(Mo..Ji <br />Ins�allationq-pddcscrip�ioi�/sizc/c�c. �//[lSli9.Lh'//v ' O'� � �.L.•�✓� I�A�LJ� <br />E/ o[2a,J��,✓�I i2EsTo�= A 2a � <br />The follo�ving estimate is based upon the Utilities D:vision providing all labor, equipment, materials, restoration, and <br />final hook-up. <br />❑ Tlie follo���ing estim�le is based upon tlic Street Division work group pro�•iding all labor, equipment, materials and <br />reston(ian to properq�. <br />Whcncrcr thc cstimalcd cost is not sufficicnt ro co�•cr thc total c�pcnsc for labot, matcrial, equipmcnt rcntal and <br />administrativc costs, thc dcficit shI:AI bc chargcd to thc property for �vliich such install:�tian �eas madc and thc owncr <br />thcrcof, and �irovidcd turthcr, that any exccss pa}•mcnt shall bc rcturncd to thc person ap�ilying for thc installation. <br />7temizcd Cost F.stimatc: <br />�E�E i/S <br />Iabor & O�rr•}+rad <br />Material <br />Equipmcr,l Rcntal <br />Sudace Restoration <br />S '� � %.S. o n — <br />p'-j 1 0.. O o <br />... 60�;00 <br />�O d.c�0 <br />TOThL S � � ��•O� � ��U <br />538� i <br />. ---� �- � <br />Prepared by'✓' _ <br />Accepted by: � <br />OOSfAGNP.ICEM57A (1259Q <br />cc: Bldg. Permit Counter <br />Clair Olivers <br />Tom Thelford <br />Don Wcitl:amp <br />Kirk Brooks <br />Gordon Witchcr <br />Dan Lowdl . <br />Stan Mitchcll <br />Rcprescnting: <br />