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CITY OF EVERETT <br />Utilities Division �N.O. No. <br />.. ••. <br />�� � ,' �� � �. <br />�� �-�� �- <br />�� � �� �- <br />�� ���� �- <br />�� �-�� <br />�� �-�� �- <br />�� ���s� �■�■ <br />�� ��■�� �■�� <br />■�� ���■� ��■� <br />■�■� ���� ��� <br />�■�■ ���� S o <br />�� ����■� <br />�� ����■■� ��� <br />�� ���� ��i■ � <br />■ i� ��•�� � � <br />%� ����� <br />_ _.___ _�■ <br />�� ���� �� <br />�- ���� �-. <br />�� C �C : C <br />Sub Total Malerial Cost S <br />Total Material Cost 5 <br />I AR(]R AND FOIIIPMFNT ON PROJECT <br />' • � • ' ��� � � ��� <br />-_- _-- <br />__- __- <br />__- <br />__- __ <br />_ - _-- <br />-_- -_- <br />Sub Total Labor Cost S Sub Total Rental Cosl S <br />To�al Labor Cosl $ <br />Date Work Completed: <br />Signature of Foreman -� <br />COMMENTS�. <br />Total Rental Cost $ <br />Tolal Charges, Materials, Labor and Rentals $ <br />