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CITY OF EVERETT g <br />Utilities Division W.0.4o. 7 yY <br />.. •-. <br />�� � •=�� � •- <br />�-�� <br />�� �-�� �- <br />�-�� �- <br />�-� <br />�- <br />���-�- � �- <br />�� _-�� <br />�-� �- <br />� �� <br />�� �- <br />:� CC� � <br />��.. : <br />� ��..... <br />S� � <br />C� ��� �. � <br />�� �..�.�� <br />�� .��...� .. �� <br />�� �� � <br />Sub Total Matens. c;os� a <br />Total Matena' Cost E <br />Sub Total Labor Cost S Sub Total Rerr.ai Cost S <br />Total Labor Cosl 5 Total Rec�l Cost b <br />9 J Z /�y Tolal Charges. Materials, Labor antl n'entals S <br />Date WorkCompleted: d <br />Signature of Foreman �T <br />COMMENTS: <br />