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W. o. tuna 3 <br />Pct. <br />CITY Ti //OF EVEPET—Water Dept. <br />Application No ... Z�%.!F eq--.j..... Date....... <br />Install. ...................... -.. inch water service pipe <br />Owner .............................. <br />........ .... -.... _... . - <br />Address.__ .. _-� ....::............ �. ��L-'------........... <br />-.. - <br />Lot._-.---......_._.........................._.I3 ock N <br />— o....--_.----•- ---- - '__ <br />Addition. ......... t .... <br />Contractor... ... 1. .. ... .... -.............. <br />Remarks._//..� ... ............ --..— ---- f ---- _- <br />-- -- <br />...... Rec. No._._ ...... ....... ..r.............. <br />Superint dent. <br />--------------- --- -- <br />ioi.Y�nkVy liFoe21L .ice <br />Shop R :marks..._......_..-...__.._._ __.._.___...--•-- ----.__._.:— _-.-- <br />Work Completed ._.............................. <br />;£7t; <br />-. ............. ................ . <br />is `f <br />Foreman <br />it <br />jk <br />J <br />