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� <br />C08T EBTZMATE SHEET <br />Receipt / � <br />�° �Q�Obt� <br />DEC 0 g ig9 � � <br />_...CITY pF..EyEREtr...... <br />Public yyp�ks Dept. <br />PUBLIC WURHS DEPARTMENT <br />UTILZTIES DIVISION <br />2300 CEDAR STREEI' <br />EVERETT, WASHINGTON 98201 <br />{206) 259-8800 <br />Date Paid -� <br />�_ Cost of Work Order 5�,600.00 Work Order i <br />Cost of Service order $_ Service order f <br />Contact Person: � Telephone ,i <br />RequPsted By: G�Iitcher Date of Request 12/5/91 <br />Property Owner (name) Decemb,r partneTship <br />Charge Cost to (name if different than owner) <br />Address 22707 66th Ave W City Mountlake Terrz,ce Zip 98043 <br />installation Location 527 103rd Plnce SE _ <br />Installation type/description/size/etc. �xcavate 4" CI main, make <br />shut down install tee hvdrant ass�mblv and restore area <br />[X] The folluwing estirt�te is basec' upon the Utilities Di��ision <br />providing al) labor, equip;nent, materials, restoration, and final <br />hook-up. <br />[] The follawing estir.iate is based upon the Street Division work qroup <br />providing all labor, equipment, materials and restorat;on to <br />property. <br />whenever the esriraated cost ie not s�fficient to cover the total erpense for lebor, <br />material, equipment rental and edministrative coste, the deficit nhell be cherged to <br />the property for which euch instellation was made end the owner thereof, end provided <br />further, thet eny exceee payment ehall be returned to the person applying for the <br />Snetellatlon. <br />itemized coat Estimate: <br />Labor & Overhead <br />Material <br />Equipment Rental <br />� 900.00 <br />1�200.00 <br />400.00 <br />Surface Restoration 100.00 <br />Total 52.600.00 <br />Prepared by Oliver Wah1 � <br />Accepted by <br />r.�•ro[Si (1i.0�-91; <br />cc: eldg. Permit Counter <br />Cleir Olivere <br />Tom Thetford <br />Don Weitkamp <br />xirx erooke <br />Gordon Witcher <br />o. Don Wahl <br />Den Lowell <br />Sten Mitchell <br />Representing <br />aw��.a oe/�e/n <br />