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�� <br />e� CITY OREVERETT <br />Util(ties Dfvision �N•O. No. �60/ <br />.. ••. <br />�� • •• �� � �' <br />'I/��� _ - " s�� � <br />1�- - � ' :.. � �'���� �� <br />r ���� �� <br />���JR�I-��=��! �- <br />�E�Y�� � ���� �� <br />�■r�r�a:-�:�:����■���� � <br />w� ����� � <br />c��� • ' ���■���� ��� <br />��: r . ���� �� <br />� ����� � <br />�r�l������ �� <br />�� ., .�■_ �� � <br />��r: n ��■�i� _� <br />C�.�.�� ..� <br />...� ... ��C �_ <br />�� ���� <br />�� �.�..�.. ��.. <br />Sub Total Materiat Cost S <br />Total Material Cost 5 <br />Sub Toial Labor Cost S Sub Total Rental Cost S <br />Total Labor Cost 5 Total Rental Cost S <br />Total Charges, Materials, Labor and Rentals S <br />Date Work Completed: <br />Signature of F <br />COMMENTS: L/ <br />�Y �l � .✓s i� .� /: � <br />