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CITY pF EVERETT , f <br /> � -UtilitiesDivision = W.O. No. _cc��79 <br /> ' MATERIALS USED ON PROJECT <br /> S�ZE/ I UNIT TOTAL SIZE/ UNIT TUTAL <br /> �TY UNiT MATERi.1LS COST COST OTY UNIT MATERIALS COST COST <br /> � 3kl (� C <br /> ! Lo <br /> 3 Ca� <br /> eao Vy7 <br /> Sub Total Materiel Cost S <br /> � Totsl Malerial Cost S <br /> � LABOR AND EQUIPMENT ON PROJECT <br /> i NAME OF WORKERS HOURS RqTE COST EOUIPMENT HOUHS RATE COST <br /> H Q" <br /> � aS <br /> � <br /> Sub Total Labor Cost S . Sub Total Rental Cost S ' <br /> Total Labor Cost S � Total Rental Cost 5 <br /> Total ChargeS Meterials, Labor and Rentals 5 <br /> Date Work Completed: — <br /> SignatureofForeman -� - � l9� � � � � <br /> COMMENTS: <br /> '����i°t p,t7 3/f[ (�lou�.v a u i/�,(iys%,c s,E�r%,ce co��o� <br /> �•v.tl•9tL'oL <br />