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CI <br /> ,:. .. _ '���� <br /> ._... , 7 q <br /> I�/ � Acct. No..l..".�.........�............. <br /> - - CITY OF E\IERE'!6`—Water Dept. <br /> Application No....�.�:�.G�..`�.......... Dete........,�..::..�.:.�..�r:......... ............19........ <br /> Instell..................._.......... inch. wat�r service pipe <br /> Owner................................................................. <br /> Address.........la.C1.C-?.,.'.>.......�,;1__i�,s<t.......k�:.............._......_....._.................... <br /> Lut........................................................�...Block No................................................ <br /> Addition............................ .......... <br /> ................................................................................ <br /> Contractor.........................................................................................._...................... <br /> Remarks..................................................................................................................... <br />� ..............��.�........................................................................................................ <br /> ....................................................................................................................................... <br /> Amt......................................... Rec.No..................................................................... <br /> � �..:.a3�,:ti::�: <br /> By......................................................BuPerintendent <br /> �0.'T <br /> ..........................................................................................................."'......................... <br /> ..............................."'..................................................................................................... <br /> ........................................ ........................................................................................... <br /> ................................................................................................ ..................................... <br /> ....................................................................................................................................... <br /> ................................................................................................ ..................................... <br /> ....................................................................................................................................... <br /> ..............................."'..................................................................................................... <br /> ShopRemarks..............................................................................................._.......... <br /> .................. .................................................................................................................. <br /> ...................................................................................................................................... <br /> .............................................................................................................._...................... <br /> .... ............. ................................................................................................................... <br /> ..............................................................................................................._...................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> Work Completed . .............................................................................. .................... <br /> Foremun / <br />