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= �, CITY OF EVERETT <br />Lltilities Division W.O. Na N��� <br />Sub Total Material Cost 3 <br />7olal Malerial Cost S <br />Sub Total Labor Cost S Sub Total qental Cost S <br />Total Labor Cost $ <br />Total Rental Cost S <br />q�i2� d� Total Charges. Materials Labor and Rentals 4 <br />Date Work Completed: a <br />Signature ol Foreman .�t ,.�i�""� _ <br />COMMENTS: <br />