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CITY OF EVERETT <br /> Utilities Division WO. No. --� <br /> MATERIALS USEG ON PFOJECT <br /> SIZE/ UNIT TO7AL SIZE/ UNIT TOTAL <br /> ON UNIT A1qTERIALS COS7 COS7 OTY UNIT MATERIALS COST COS7 <br /> a o8� y <br /> �' �' �/0 3 Z6 <br /> Sub Total Material Cost S <br /> Tolal Malerial Cosl S <br /> LABOR APJD EQUIPMEN7 ON PfiOJECT <br /> NAME OF WORKERS HOURS PATE COST EOUIPMENT HOURS RA7E COST <br /> ec •nu/ yG2 <br /> Sub Total La6or Cost 5 � Sub Total Renlal Cost S <br /> � Total La6or Cost 5 Total Rental Cost S <br /> > GCf Total Charges, Materials, Labor and Rentals S � <br /> DateWorkCompleted: S^�.J �O / � . <br /> Signature ol Foreman �'J �-�� ' � <br /> COMMENTS: <br />