1201 EVERETT AVE 2016-01-01 MF Import

CITY OF EVERETT " Utilities Division �N•O. No. MATERIALS USED ON PROJECT 512E/ UNIT TOTAL SIZE/ UNIT TOTAL OTV UNIT MATERIALS COST COST ON UNIT PAATERIALS COST �� COST Sub Total Marerial Cost S Total Material Cosl S LABOR AND EQUIPMENT ON PROJECT NAME OF WORKEFS HOUF:� RATE COST EOUIPMENT HOURS AATE GOST i I� Sub Total Labor Cost S Sub Total Rental Cosl S �I Total Labor Cosl 5 Total Rental Cost S I Total Charges, Materials, labor and Fientals S __ I Date Work Completed: � �� f � � . Signalure ol Foreman � � COMMENTS: I � �L/�5 ;