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COST ESTIMATE SHEET <br />eV'A ,n r.t'v �6 <br />Receipt # Z&z2 �8 <br />Cost of Work Order <br />Cost of Service Order <br />Contact Person &S/Vew <br />Requested By �pW j p r/ 4�,'1/74-o tTL <br />Property Owner (name) t5 9irr sF <br />Charge Cost to (named if different than owner) <br />Address SSZS {�/L�lT5 XG <br />Public Works Department <br />Utilities Division <br />3200 Cedar Street <br />Everett, Washington 99201 <br />(206)259-8800 <br />Date Paid <br />Work Order # <br />Service Order # <br />Telephone # <br />Date of Request <br />city �.fr r�w�, e4 zip <br />Installation Location 5M0.3' — l ey'/yLex Se- <br />Instal'aatiion type/description/size/etc. <br />❑ The following estimate is based upon the Utilities Division providing all labor, equipment, materials, <br />restoration, and final hook-up. <br />❑ The following estimate is based upon the Street Division work group providing all labor, equipment, <br />materials and restoration to property. <br />Whenever the estimated cost is not sufficient to cover the total expense for labor, material, equipment rental and <br />administrative costs, the deficit shall be charged to the property for which such installation was made and the owner <br />thereof, and provided further, that any excess payment shall be returned to the person applying for the installation. <br />Itemized Cost Estimate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />Sales Tax <br />TOTAL <br />f jZ <br />Prepared by: e4Ve_5ye <br />Accepted by: <br />Zj3� aG <br />ro5/O�S! 00 <br />,S w. <br />I , Date Est. <br />Prepared: <br />ESTIMATE GOOD FOR 6 MONTHS <br />cc: Bldg. Permit Center <br />Clair Olivers <br />Tom Thetford <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paul McKee <br />Gerry Crum <br />CGS AGND. IC6MSM(LMINNS( <br />