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1 " <br />,. <br />.\ <br />_. <br />• <br />~_~~ ~-- <br /> <br />~~ <br />ESTIMATED COSTS FOR WATER & SEWER EXTENSION <br />- DATE Ilal 8! ' <br />_____ <br />CONTRACTOR/OWNER D P ~A T - <br />LECAL DESCRIPTION <br />JOD ADDRESS _ ~• ~~q-cLc~,c,.[~ ` <br />E:CTEVSION AGREEMENT SIGNED (DATE) ' <br />DEPOSIT $ RECEIPT 0 <br />WORK TO BE DONE BY:' CITY CONTRACTOR/OWNER BID <br />WATER EXTENSION FEET DATE COMPLETED <br />•_ Total Material Cost $ <br />Total Labor Cost $ <br />Total Equipment Cost$ <br />Total Extension Cost$ <br />= SEWER EXTENSION DU' FEET <br />• Total Material Cost $ 1150 <br />Total Labor Cost $ <br />Total Equipment Cost $ 9 ~ b <br />Sao <br />Total Extension Cost $ ~_~g b <br />E;~CiNEERI:rC FEES $ <br />TOTAL WATER AND/OR SEWER EXTENSION COST <br />WATER ACCOUNT /i <br />I"1SPECTED BY <br />DATE COMPLETED <br />Y~ . <br />SEWER ACCOUNT <br />CODE ENFORCEMENT APPROVAL <br /> <br />DATE <br />DATE <br />CO"~•`1EVTS <br />• <br /> <br />