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1818 121ST ST SE 2018-01-01 MF Import
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1818 121ST ST SE 2018-01-01 MF Import
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Last modified
11/2/2018 1:50:38 PM
Creation date
4/14/2017 10:39:25 PM
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Template:
Address Document
Street Name
121ST ST SE
Street Number
1818
Imported From Microfiche
Yes
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� <br />COST E6TIMATE SHEET <br />PUBLIC WORKS DEPARTMENT <br />UTILITIES DIVISION <br />2300 CEDAR STREET <br />EVERETT, WASH2O6)o25998800 <br />Date Paid �— <br />Receipt # <br />Cost of Work Order 5�— Work Order #�— <br />�_ Cost of Service Order $° d1C.00 Service Order �k _ <br />Contact 1'erson: Mark Mantei <br />Telephone N " °-Fd�O <br />Requested By: Gordon W'*�"}'eY <br />Date of Request �-��4 <br />Property Owner (name) v rett C''c <br />Charge Cost to (name if different than owner) <br />Address 3901 Hovt — <br />City verett ZiP 9�Q1 <br />installation Location _ <br />Installation type/description/size/etc. <br />._.. _--,� __,� nn � <br />[X] The following estimaeeuilmentas materials, <br />providing all labor, �3 P <br />hook-up. <br />the Utilities a a Vfinal <br />restoration, <br />[] The following estimate le uiSmentp�nmaterialsetan�dV1restorationC�to <br />providing zll labor, 9 P <br />property. <br />Whenevar the eetimated coet ie not eufficient Co cover the total expense for lebot� <br />material, equipment rentel and adminietrative costs, the deficit ahall be charged to <br />th�3 property for which euch eimentl shall beg returneda t hethe npereonr applying for ithe <br />further, that any excese p y <br />instellar.ion. <br />itemized cost Estimate: <br />Labor & Overhead <br />Material <br />Equipment Rental <br />Surface Restoration <br />Totsl <br />u�t:Y�015nt <br />4�0.�� <br />3� <br />94U' — <br />9,410.00 <br />Prepared by John Garza ✓ <br />Accepted by <br />ce: Bldg. Pe[mit Counter <br />clair olivers <br />Tom Thetford <br />Don Weitkemp <br />Kirk Brooks <br />Gordon Witcher. <br />Dan Lowell <br />Stan Hiechell <br />Representing _.�--- <br />a.,,i..a oe/�elf� <br />� <br />
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