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City of Modesto House Sewer Line Repair Cost-Share Program ITEMIZED ESTIMATE REQUIREMENTS Each homeo5ner is require6 to su7mit three ITEMIZED es2mates for the repair of their House Se5er Line 5ithin the pu7lic right-of-5ay. Contractors are require6 to su7mit es2mates on the form 7elo5. Permit fees should not be listed on this esmate form, as they are NOT reimbursable. CONTRACTOR HOMEOWNER NAME: NAME: ADDRESS: ADDRESS: PHONE: PHONE: EMAIL: EMAIL: LINE ITEM SIZE/DIMENSIONS & COMMENTS ESTIMATED COSTS Asphalt/Concrete Pavement Removal s.f. @ Asphalt Paving (Street) Temporary s.f. @ Concrete s.f. @ Aggregate Base Material (ABM) s.f. @ Pipe - Type: l.f. @ Pipe - Type: l.f. @ .i/ngs - Type: @ Trenching long x wide @ ft. Shoring @ ft. Backfill @ Compaction @ Dump Fees @ Equipment Rental Type: @ @ QUANTITY PER ---PAGE BREAK--- City of Modesto House Sewer Line Repair Cost-Share Program ITEMIZED ESTIMATE REQUIREMENTS LINE ITEM SIZE/DIMENSIONS & COMMENTS ESTIMATED COSTS Labor Job Title of cre5 @ Labor Job Title of cre5 @ Other @ Other @ Est. Total Site Address: Contractor Comments: NOTE: Any addendums to the above esmate must be listed on a itemi ed esmate form, and faxed to the City of Modesto, Community & Economic Development Department, Land Development Engineering Division @ [PHONE REDACTED] for approval.