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COST ESTIMATE SIIEET <br />Reccipt # <br />X Cost of Work Order <br />$6,285.00 <br />Public 1Vorks Department <br />U!ilities Divit��n <br />3200 Cedar Street <br />Everett, Washington 98201 <br />(206)259-8800 <br />Date Faid <br />Work Order # <br />Cost of Scrvice Order 5ervice Order # <br />Contact Pcrson Vince Bemdsen Telephone # 646-3264 <br />Requested By Gordcn Witcher Date of Request 1-12-95 <br />Property O�mer (name) Boston Chicken <br />Chargc Cos[ to (name if different than o�mer) Vince Berndsen <br />Adclress 1601 114th Ave S.E - Stc 130. City Bcllewe Zip 98004 <br />Installation Location 7407 Evergreen Way, Lverett, Wa 98201 <br />Installation type/description/size/etc. Escavation of 12" Di-Tap and install fire hydrant <br />� Thc following estimate is Lased upon the J[ilitics Division providing all labor, equipmenf, materials, restoration, <br />and final hook-up. <br />❑ The following estima[e is based upon die Strect Division work group providing all labor, equipment, materials <br />and restoration to property. <br />Whenercr t6e cstimatcd cost is not suf'ficicnt ro cavcr tlie total ccpcnsc (ur labor, matcrial, cquipment rcntal and <br />administrativc costs, thc deficit shall bc chargcd to thc property for which such installation was madc and thc owncr <br />fhcrcof, and providcJ further, that any excess paymcnt shall be rcturncd to A�c persmi applying for tlic installation. <br />Itemized Cost Estimatr. <br />Labor & Benefits <br />Material <br />Equipment Rcn[al <br />Surface Rcstoration <br />TOTAL <br />Prcpared by: <br />IGCOSfAGN:LM I21CSI'(1�1819� <br />$2,600.00 <br />1,81�.00 <br />1,010.00 <br />560.00 <br />S6,285.00 <br />Represcnting: <br />Bldg. Pcrmit Caumcr <br />Clair Olivcrs <br />Tom Thctford <br />Don Wcilkamp <br />Kirk Erooks <br />Gordon WitcLcr <br />Dan Lo«•cll <br />Stan Milchcll <br />Pnul McKce <br />