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CITY OF EVERETT <br />Utilities Division �N•O. No. � ���GJ <br />.. --• <br />. �� . . <br />��,,,��-� �.� ,���,:,���:�:�� <br />�!lr7LtiE�3�,��(I���� r� <br />�<r ���� �� <br />�� ���� �� <br />�� ���� �� <br />�� ��s� �� <br />�� �CCC : _ <br />� ���C :C <br />�� � �� �� <br />�� � � <br />�� � �� �� <br />�� ���� ..� <br />�� ���� ��� <br />�_ ���� CC <br />�� ��_� �� <br />�� ���� �� <br />� ���� �� <br />Sub Total Material Cosl $ <br />Total Ms��erial Cost $ <br />I ARl1R AND EOl11PMENT ON PROJECT <br />' � •' ' ��� � � ��� <br />-_- - __- <br />__- __- <br />__- __- <br />__- -_� <br />__- __ <br />_-- __- <br />_-- _�- <br />_ - __- <br />-� _ - <br />Sub Total Labor Cost S Sub Total Rental Cost S <br />Total Labor Cost S Total Rental Cost $ <br />Total Charges, Materials, Labor and Rentals $ <br />Date Work Completed: <br />Signature of Foreman <br />COMMENTS: <br />