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COST ESTIMATE SHEET <br />Receipt # <br />Public Works Department <br />Utilities Division <br />3200 Cedar Street <br />Everett, Washington 98201 <br />(206) 259-8800 <br />Date Paid <br />__ Cost of Work Order Work Order # <br />_� Cost of Service Order /9i�C/. GY�� Service Order # <br />ContactPerson ,�/f�ib�,J %Ay�,q,e Telephone # <br />Requested By ��,-Z/ f�+jki'E' Date of Request /p —,g =�S' <br />Pr4perry Owner (name) �a.Q4c-,vj�A ' �yGG✓z ' <br />Chazge Cost to (name if different than owner) <br />Address �pyZ�O J���L• City � <br />1llA.�i/-�!/i�LE' ZiP '1�6'Z�'1U <br />Installation Location _B5/Z� SZ"�� S7� <br />Installation rype/description/size/etc. �t,�" Sr.2�V�GE D.Cl �6!!% d/= ,`!/�y <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 sumcient to cover the total expense for labor, material, equipment rental and <br />administrntive wsts, the de�cit shall be charged to the property for which such installation was made and the owner <br />thereof, and provided [urther, that any excess payment shall bc returned to the person aNplying for the installation. <br />Itemized Cost Estimate: <br />Labor & Benefits <br />Material <br />Equipment Rental <br />Surface Restoration <br />��� OG <br />ZSD. 00 <br />Sales Tax /Sl�, p� <br />TOT�� .T�tlLy) �/��% 00 �� <br />� E•�Ti�i,`7� <br />AGni.9�� GoS <br />Prepared by: �y'a�� �, <br />Accepted by: <br />COSTAGND:ICFhiSTA(LMINNS) <br />O.UGy— TX/S /� <br />Date Est. <br />cc: Bldg. Pertnit Center <br />Cla'v Olivers <br />Tom Thetfard <br />Kirk Brooks <br />Gordon Witcher <br />Dan Lowell <br />Stan Mitchell <br />Paul McKee <br />Gerry Crum <br />��Eii!/�ic��' <br />�.v� /hATt�LAC_.. Ty� <br />Prepared: I Representing: <br />f� u: ��! �: � u� . <br />Personnel � <br />Labor: <br />z Hours i'� . x S2ate �23_�io = b'��/ UU <br />Total Labor• �G� 00 <br />Hours /v z Rate <br />Famu:ESIG'(�'1INA9A <br />vr. = Cz-�i', � _ <br />Tap Fee: <br />Total Equipment• <br />SUMMARY <br />Total Materials, Labor & Equipment: ��Z� �� <br />5ales 1'ax: /�i%, oU <br />GRAND TOTAL � 7 �� DU <br />