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, CITY OF EVERETT <br />Utilities Division �N•O. No. y�� <br />.. -•. <br />� •• �� • <br />�� � r. <br />� � <br />rurc��ririr�:�r������ � � <br />ri��vtz .. . ►��!a����� <br />��4i3"ir .. ���� �- <br />F7E"��Y1I.'l�i�►�=-__ �- <br />� ��'~'i► � - w���� <br />����r;��.�c.���+s:����� � s <br />n�.+.��sna.�r•r���■���� <br />ii�r:irr�'�urs����-� �� �� <br />� ����� �� <br />���� � <br />� _���� ��� <br />���� _— <br />�� ����� ��� <br />����� ��� <br />�� ����� ��� <br />���� ��■ <br />....��.� �C <br />�C .....��� � <br />..��� ....� <br />..���. ....�.. <br />� : �.��� �.... <br />Sub TOlai Ma[enai t,osi a <br />Total Material Cost S <br />Sub Total Labor Cost S Sub Total Rental Cost S <br />Total Labor Cost S Total Rental Cost S <br />Tatal Charges, Materiala Labor and Renlals E <br />Date Work Completed: <br />Signature ol Foreman _� <br />COMMENTS: <br />