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/ � �' � <br /> w.o ionv 3 / ' <br /> ACCL. I�0............_................... ' <br /> CIT`( OF EY"cRETI'—Water Dept. <br /> ' _'� �, ` <br /> Application No.i..-?...__.......�. Date...._..�..... �._�^.. .. ...__........19.�...� <br /> Install.._.����.............. inch water servirn pipe <br /> Ownec..._ ....._.. -- .................. .... ......... <br /> . ................................................... <br /> =_����'7 <br /> Addrnss......... ....._........._�....__........�'�.`_.:.`__�3 c�� <br /> ..........................� ............ <br /> Lot..................... ................ ...................Block No................................................ <br /> Addition.................................................................... .......................................... .... <br /> Contractor.... �................................../. ........................................._......---�-......._. <br /> Remarks..--�L. -n-.`�c�.� `i- l. <br /> ................................. .,.................._.......................................... <br /> ..............._..............._-----........- --........--..............._.......................................___ <br /> ...._............. .............._�--- ...... <br /> ........................................................... ................... <br /> Amt....�.......:......:...:................. Rec.No...........--.................... <br /> ................................. <br /> By. .................................................................................... <br /> �� /� Superintendent <br /> .......................��..W�:f�=k/............................ <br /> � _.._...................................._.. <br /> ..............................(��.z�2t�C..........._�L................... <br /> ......................................... <br /> ....................•--.._�Zc�.-r.Cl�.._...._`�..............................._.......................... <br /> .......................... �-.............................................................................--...................... <br /> �............................/(l.-!-.�/,...P��......................................................,............. <br /> ....... ................�-� ....._............................................................................................. <br /> ........................................................................................................................ ..... .... <br /> ............................................................................. .................................................. <br /> Shop Remarks......... ............................. <br /> � � . ......- .._..............................................._.. <br /> ............ ......._...._CZ.L-'�1.....� 6�.ci.�IL...c��:�...G.�a.,<�....�a..CQ-�-..._............ <br /> ..... �.................. ......... ............................................................ ......._..................... <br /> .................................................................................................................................... <br /> ............................................................................................. ..............._...................... <br /> ...................................................................................... .............................................. <br /> ... ................................................................................................................................. <br /> .......... ............................. ............................................................................................. <br /> ..... . . <br /> ....... .... .. . ....... .......................................................... <br /> .. .. .......................... <br /> A / <br /> «'ork Completed.i3:.:.=.'�.::.�f...........��..�2n-,�-t.<......... <br /> Foreman <br /> . � <br />