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CITY OF EVERETT <br />Utllitiea Divielon N1•O. Na �''�`� y <br />SUb IOIeI Mero�ia� vw..� <br />Total Material Cost S <br />Sub Totel Labor Coat S Sub Totci t+emai w�� + <br />Total Lebor Cost S Totel ReMel Cost S <br />Total Charges, Materials, Labor and Rentals 5 <br />Dale Work Compleled: � �� � �" <br />Sianeture ol Foreman _ <br />COMMENTS: <br />