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O'� �� <br />W. O. FOHM ] /� � i� .� <br />Ac ct. No.... �...::.L./.. �?: S!..... <br />CITY OF E�fC�ETi —Watcr Dept. <br />� ., '/ <br />APPlication No....�.1.%.�..:�1..... Date.........._v:..-../.._c��_7` ..............19........ <br />Install ................................ inch water seivice pipe <br />Owner................................................................................................................. •-.... <br />Ne........ <br />Contraclor..._ ........... .................................... <br />Amt.--� ..................................... Rec. No.......................................................-�---......... <br />B ��;, <br />,` � <br />y._ ............................................. ,x_?.:._::�.:� ... <br />T Superintendent�' <br />w�� � <br />............................................................................"'-................_...................................... <br />Shop Remarks .......................... <br />.................. ........ ........................................... .............--- .....- ---...._ -....... - .... <br />............................................................................................................. ... . ................ <br />�Vork Completed ......................................................................--............ <br />. _........_. <br />Fore ian <br />