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COST ESTIMATE SHEET <br />Receipt # <br />t/ <br />Cost of Work Order <br />I ublic Works Department <br />Utilities Division <br />3200 Cedar Street <br />Everett, Washington 98201 <br />(206)259-8800 <br />Date Paid <br />�,��,/e; k 0 Work Order # <br />Cost of Service Order Service Order # <br />Contact Person Telephone # <br />Requested By �p,�d t/ all74-e Z Date of Request <br />Property Owner (name) or <br />Charge Cost to (name if different than owner) <br />Address SSZS 4/19607S 2d City 5AA!5q,-57,PV0CV-j Zip 17SV;�z <br />Installation Location 9r:0.3 — /e2 n'yL?F SE <br />Install�at`iontype/description/size/etc. �j�2i+yT7 <br />'y'C=)�'li�'/°ac, /,u�7��a .S//�iz.►.yT � 1— z �'sr�zri�` �A,os. �����i��,, /�c3.�`izc'/ <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 />Prepared by: ��ye <br />Accepted by: <br />Z/IGO.OD <br />Zj3� aG <br />,o5/os! oa <br />Date Est. <br />Prep„ area• <br />z'?� 5� <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 />COSTAGYD'. ICFASM (LMM95) <br />