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w. a. IPRY a /����' � <br />Acct. No... ',a+-...'r_ _�i...'...G__......... <br />CITY OF EVERE77—Water Dept. `3 y" j% <br />A lication No... .. � `3 '� ..............19:�Y <br />PP �����.� Date ............................... <br />Install ................................ inch water service pipe <br />n..._-- <br />�i <br />BLOCIL <br />Contractor..................................�---........ <br />Remarks---�-•----�+ _,�,�„-- 2�'GQ-- <br />Amt...................._...............---� Rec. <br />By.._?�?._2�...---......- ..............i�- :..:�._�.�n.��,;. <br />Superic�tendent <br />Shop <br />�5'ork Completed ............................................................................ . <br />._... ---..._./ <br />Foreman <br />