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125588483 STATEMENT OF APPLICANT'S CONTRACT ANTICIPATED COSTS.* RWC PUMP STATIONProject Name: 761 BRADFORD ST, REDWOOD CITYProject Location: 125588483Notification Number: PM Number(s): (Gas)35442402(Electric) APPLICANT COSTS The following statement must only include the contracted anticipated installed costs of facilities installed by the Applicant that are refundable and that are PG&E's responsibility under its tariffs. The costs provided by the Applicant must be taken from the Applicant's contract with its contractor. If the Applicant will be performing the work itself, the Applicant must also complete and sign this form. The Applicant's statement of costs will be compared with PG&E's estimated installed costs of the same facilities, the lower of which will be used to determine the amount subject to allowances and refunds in accordance with the provisions of PG&E's Gas and Electric Rules 15 and 16. If the Applicant chooses not to provide its costs, it must complete the last section of this form. Until the Applicant either provides the refundable cost from its contract with its contractor (or its own cost, if applicable), or returns this form indicating that it will not do so, PG&E will not proceed with any work on the Applicant's project. · Applicant's statement of costs include: overhead or underground service conductors,poles, service transformers, connection fittings, service pipe, valves, service connections,and other PG&E-owned service equipment, as detailed in Gas and Electric Rule 16. · Applicant's statement of costs DOES NOT include: inspection fees, nonresidential service costs, regulators, or PG&E-owned metering equipment. Form 79-1003 Advice 4350-G/6050-E February 2021 †Information collected on this form is used in accordance with PG&E's privacy policy. The privacy policy is available at pge.com/privacy Automated document, Preliminary Statement, Part A Page 1 of 2 GAS ELECTRIC Residential Service Facilities:Residential Service Facilities: #applicantCostGas#Applicant: $#applicantCostElec#Applicant: $ $0.00 PG&E: $0.00 PG&E: 0Number of gas service:0Stubs:0Number of Electric service: #Form 79-1003# November 18, 2024 * This form at all times shall be subject to such modifications as the California Public Utilities Commission May direct form time to time in the exercise of its jurisdiction. 6.A. - Page 8 of 13 12