Laserfiche WebLink
i <br /> � <br /> UTILITIES DIVZSION <br /> C08T EBTIIiATE BHEET 2�00 CEDAR STREET <br /> EVERETT, WASHZNGTON 98201 <br /> (206) 259-8800 <br /> Receipt � �a U Date Paid _�25�_ <br /> �� Cost of Work Order ���_ Wark Order N "Ila3� <br /> Cost of Service Order $ Servi�e Order � <br /> Requested By: � �Q ,��' FS C �� Date of Request /� ~`S � <br /> Property Owner (name) �/ ��"/ -E <br /> Charge Cost to (name if different than owner) !`C��1Ptr0. / /1C, <br /> � Tt .!J d Z �._,s�- � �� <br /> Address ,� � � `� �v'� j City S�LG�G ZiP <br /> � p TT G ,L <br /> Installation Location ? Z S � D / � �— <br /> Installation type/description/size/etc. J�"�` L ��R�'t �%�r��� <br /> The following estimate is based upon the Utilities Division providing <br /> all labor, equipment, materials, restoration, and final hook-up. A <br /> double check valve assembly for temporary service is available from the <br /> City's Permit Counter by requesting a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estia�ated cost is not sufficient to cover the total expense <br /> for labor, material , equipment rental and administrative costs, the <br /> deficit shall be charged to the property for which such installation was <br /> made and the owner thereof, and provided further, that any excess <br /> payment shall be returned to the person applying for the installation. <br /> itemiaed Coat Estimate: <br /> Labor & Overhead � � / cc: Tim Tyler <br /> Material Z l � Don weitkamp <br /> Equipment Rental � Larry Crawford <br /> Surface Restoration Tom Thetford <br /> Servi.ce order Cost Clair olivers <br /> Total �`�=� <br /> Prep�red by �- � v��-�'� <br /> Revised 7/15/88 <br /> ���" � - ��^ �� <br /> 1 . <br /> � <br />