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y <br /> ~s, _ <br /> Daily Extra Work Sheet ~'b" c WO1~ <br /> City of Eugene <br /> 244 East Broadway <br /> Eugene, Oregon 97401 <br /> l / <br /> 682-SrJ60 <br /> Date ~ o Contractor ~ 3 ~2-~,o Fax <br /> ~ <br /> Job No. <br /> ConL No. ~ ~ - ~ <br /> Pro~ea E I ~'~N~l/£' ~TO~. i~ G2 ~ ~ ~ 1 i~f ~UL" ~~D <br /> The following expenses. cover work and/or other charges incurred on the above date: <br /> Description of Work Done ~ r ~ ~ ~ ~ /'~iJ ~ !fL-~r f~ =J~ <br /> 6~.N~. c; ~ d a ~LN 3 <br /> Hours Hriy. Rate <br /> Detail of Labor or or Equipmer>i Material Labor Other Tots! <br /> Equipment or Materials Quantity Unit Ptiee Cost Cost Cost Cost Amormt <br /> - ~c1c1~' rlv ~ <br /> o~ ~~4'To~1' ~ ~1 I ~ I ~ ~ ~ - <br /> Z~ :~G C , c-~~~~ <br /> SUB TOTAL ~ ~ - ; - ~ C{ 3 / <br /> Equipment % 2c , c~~- C: C, <br /> Material % ~ - <br /> Labor I L . =-3 ~ ~ 3 ~ ~ ~ <br /> Other <br /> TOTAL 7. a~, ; ~ ~ . <br /> gy "w/ By 3~ <br /> Approved by Owner Approve by ntractor <br /> <br /> ErrgForm 1022 White / Carrtractor Yeflow / Fle Pink / Inspector Rev . 1/98 <br /> <br />