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W. O. RORM i /v/rI O �( � <br />Acct. No.._�r:E..:--:...[....... <br />' CITY OF EVERE77'=Water Dept. <br />Application No._l?�/.....`%.�'....... Date .................%i� o<-:..�...............19�� <br />Install ................................ inch water service pipe <br />Owner. ----........_. ..............- --.........- -- — <br />.................................................... <br />. ,, . <br />Address. . .f-..� .' �.....-G.f= `; yc.: �......l....c' ......................... ....................... <br />........ �. y.. <br />r,.� - - - - .................. Block Na..................-�----..............---....... <br />Contractor..._ ...................-•---.................--- .....----...--- - <br />..........................••---.....--- <br />Remarks.---....... �:.2.�ti.�= ..:.................................................------................-•--- <br />Amt............_.._.._ ................... Re_. <br />� <br />':.-. � � • .. ........... <br />...�._..--- ---_..--• - <br />BY ....................................� Superint�dent <br />�xic� <br />Shop <br />� <br />� <br />................................ <br />�Vork Contpleted ...................................................................... Foremnn <br />