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/ / • �/ <br />CITY OF EVERETT <br />Utilities Division �N•O. No. g��� <br />.. -. <br />�� • . � •• ��.�� �• <br />�a��cr.��r•r�i����� �� <br />F�~ia�.s.—� �iaJ. �.7—� _— _— <br />i'��'/_MI/f�l2' - �. c�!'ic,���rcaF �;:'� �� <br />I�D/L�fli�lli� �l.' f ��lr� �� <br />rii�7LJIL �.- � - i[�r���IDJ.TL�3'� 3'/'-�� <br />r�� ��s..� ,;: ; z �—..�. ���ii� ��� <br />��sr�a���;�t•n��j.����� �■� <br />r����•aw:�t- ► : ,����� �� <br />f/�[iL�iil�/l .T�'��l7/.+!���ii��� � <br />!�� �r,rr.,�;�r,r�r�z-�� ��_■ �� <br />�� �■��� �� <br />�� ���� �� <br />�� ��� �� <br />�� ����� ��� <br />�� ���� �� <br />�� ���� C� <br />�e ����� �s <br />�� ����� ��� <br />�� �■���■ _�� <br />�� ���� �� <br />s�b rof�i Meie��ai co5c a <br />Total Material Cost S <br />Sub Total Labor Cost S Sub Total RenYal Cost S <br />Tolal Labor Cosl 5 Tolal Rental Cost S <br />/ j_ Total Charges, Materials, Labor and Rentels S <br />Date Work Completed: <br />Sionature ot Foraman <br />COMMENT`i: <br />