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CITY OF EVERETT <br />Utilities Division �N•O. No. 7�z N <br />.. ••. <br />�� - � '� �� • <br />t��9i■C1!A��!���� �� <br />■��l*J . • :, ���� �� <br />��� ���� �� <br />a�L�lB!')�'�l����� �� <br />n/:i , - ���� �� <br />n�F� � ���� �� <br />���I�������� <br />lCiL�7�Ilfl�'r�d'*5���� �� <br />.IC�F'�7[�1�L��"7���� �� <br />n�� l�!�J'l3'.."����� �� <br />n��ifi�f3?������ �� <br />L?f�'!l� • .. ���� �� <br />�� ' -- ���� �� <br />�� ���� �� <br />�� ���� �� <br />�������� �� <br />���� �� <br />��� �� <br />�: CCC� �•�• <br />�: �..��� ��. <br />�.� �.�.�� � <br />�C ��■■��� •��� <br />�� ���� �� <br />Sub Total Materiai cost s <br />Total Material Cost S <br />Sub Total Labor Cost 5 � Sub Tofal Rental Cost S <br />Total Labor Cost $ Total Rental Cost 5 <br />_� O Total Chargea Materials, La�or and Rentals 3_. <br />Date Work Compleled: I D—�� u <br />Sianature of Foronan <br />COMMENTS: <br />