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CITY OF EVERETT <br />Utilities Division <br />C W.O. Na2-"/ <br />"I <br />w <br />m��� <br />I?7►11f <br />Sub Total Material coat a <br />Total Material Cost S <br />:•MCI @I� <br />tt` <br />Map <br />Sub Total Labor Cost S <br />Total Labor Cost $ <br />Date Work Completed: & 13(/ f <br />Signature of Foreman —L— <br />COMMENTS: <br />Sub Total Rental cost s <br />Total Rental Cost S <br />Total Charges. Materials, Labor and Rentals S <br />L_ <br />