1422 112TH ST SW 2018-01-01 MF Import

COST ES'IIMATE SHEET Receipt k Cost of Work Order X Cost of Service Order 51,200.00 Contact Person Dan Hemmer (Mukilteo Water) Requested By Samc Publ(c Worice Department UHlitiee Divlaioo 3200 Ceder Street Everett, Wa�hington 98201 (206) 259-8800 Date Paid Work Order # Service Order # Telephone # 355-3355 Date of Request I-1 I-96 Property Owner (nume) Korean Presbyterian Church Charge Cost to (neme if different than owner) Addrcss 1422- I 12th St SW City Everett Instailation Locetion Same Z�P 98204 Installetion type/description/size/etc. Install 2" service for Mukilteo. Mukilteo will fumish the meter. ❑ The following estimate is based upon the Utilities Division providing all Inbor, equipment, meteriels, restoratian, and final hook-up. ❑ The following estimate is based upon the Street Division work group providing all labor, equipment, meterials and restoretion to property. Plea�e noHPo the Ci�y of Fv .ptt ltilitie- Divi�ton 10 worki�q�_S �o edvance of.pqsired iootallallon dat to dlow for eched�lle� rnd parts proc�rement WAenever t6e atlm�ted coet I� not au111clent to cover the total e:pense for labor, materl�l, equlpment rental and �dminbtntive cosW, the deflclt ah�ll be ch�rged to the property for whlch �uch In�tallatlon wa� made and the o�vner thsreof, end provlded further, that aey exca� peyment �hall be returned ta the penon applying for Ihe Instellatlon. Itemized Cast Eatimate: Labor & Benefits Meterinl Equipment Rental Surface Restoration Seles Tex TOTAL SI,200.00 cc: Bldg. Permit Center Clair Olivers Tom 'Ihetford Kirk Brooks Gordon Witcher Den Lowell Stan Mitchell Paul McKee Gerry Crum Prepared by: Gerry Crum Date Est. 4ccepted by: Fl�d: Representing: I-16-96 �� ;,u�� COSTAGND GCOHo�lLAl l/Ib95)