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CITY OF EVERETT <br />Utilities Division �N.O. No. �rY�_ <br />.. •. <br />L�� � ' ' � : <br />- - - __ <br />__ ==== -_ <br />__ ____ <br />__ _=_= __ <br />_= s��= __ <br />__ ___- __ <br />__' =s�� _� <br />_:: _—_- __ <br />_� _�__ __ <br />_- _.--_ __ <br />_� __�_ __ <br />_= �_=� __ <br />..� _—_ =._ <br />Sub Total Material Cost $ <br />Total Material Cost S <br />Sub Total Labor Cosl $ Sub Total Rental Cost 3 <br />Total Labor Cost 5 Total Rental Cost S <br />Total Charges, Materiale, Labor and Rentals 5 <br />Date Work Compleled: <br />Signature of Foreman <br />COMMENTS: <br />