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CITY OF EVERETT <br />Utilities Division �N•O. No. � �� N <br />.. ••. <br />�� � •• �� � �. <br />Fi■E��P. . ���� �� <br />I�E'�t!1�iFi.����� �� <br />�� ���� �� <br />�� ���� �� <br />�� ���� �� <br />�� ���� �� <br />� ���� �� <br />�� � � �� <br />CC C�CC �C <br />�C C� : � <br />�� �� C� <br />�� ��� �� <br />� ��C� �_� <br />�� ��C�: ��C� <br />�� ���� <br />C ���C �� <br />Sub Total Matarial Cost S <br />Tolel Meterial Cost S <br />Sub Total Labor Cost 5 Sub Totel Rental Cosl S <br />Total Lebor Cost S <br />Total Rental Cost S <br />Tolal Charges, Materials. labor antl Rentals S <br />Date Work Compleled: v� �� �8� <br />SiO�alure ol Foreman <br />COMMENTS: <br />