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PUBLIC WORKS DEPARTMENT <br /> UTILITIES DIVISION <br /> COBT EBTIll7►TE BHEET 2300 CEDAR STREET <br /> EVERE•:'T, WASHINGTON 98201 <br /> (206) 259-8800 <br /> Receipt � Date Paid <br /> Cost of Work Order S Work order N <br /> ,�j_ Cost of Service order $ 9.680 Servic�a Order �► <br /> Requested By: Date. of Request <br /> Property Owner (name) General Hosoital of Everett <br /> Charge Coet to (name if different than owner) <br /> Address 14th and Colby City Everett Zip 98201 <br /> Installation Location 14th and Rockefeller <br /> Installation type/description/size/etc. Excavate. make hot tao on <br /> 8" main. Construct meter vault. install 4" MFMCT II meter and <br /> rpR*ore area. <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 requestinq a Hydrant Use Permit with an <br /> additional deposit. <br /> Whenever the estimated cost is not sufficient to cover the total expense <br /> for labor, material, equipment rental and admi.nistrative costs, the <br /> deficit shall be c2►arqed 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 /> itemia�a Cost Estimat�: <br /> Labor & Overhead S3 .360 cc: Tim Tyler <br /> Material 5.623 Don Weitkamp <br /> Equipment Rental 597 Larry Crawford <br /> Surface Restoration 100 Tom Thetford <br /> service order Cost Clair olivers <br /> Total 9.680 <br /> Prepared by O. Wahl L�/�S�" <br /> Revised 3/15/88 <br />