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CITY OF EVERETT <br />U:ilities Division <br />w.o. No. S Z3 <br />SUb lolai rviate�iai �.vo� � <br />Total Material Cosl 5 <br />Sub Total Labor Cost 5 Sub Total Rental Gos� a <br />Total Labor Cost 5 Total Rental Cost S <br />Total Charges, Materials, Labor and Rentals $ <br />U � <br />Date Work Completed: � ^ � " <br />� <br />� . <br />Signature ol Foreman � �"`e"c� <br />COMMENTS: <br />0 <br />