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w.o.ronM a ����� � <br /> Acct:. No._:?..-..S,..iT.�....... <br /> CITY OF E1fERE�T—Watcr Dept. <br /> Application No./.rl..`'��:�,_. Date �- ......:::�..c.:�_.-.�i..�::.........19........ <br /> Install................................ inch water service pipc <br /> Owner---..................................................� --..................._......................--........._..... <br /> �i <br /> Address................�i.'..�:?'.5..�....._. ��i!�...z�.k:�..fJ....�::.:..................._..._... <br /> Lot..............................................................Block�No.........................._..................... <br /> Addition.................................................. ................................................................ <br /> Contractor....-�...................................................................................�-----...............---� <br /> � ii <br /> Remarks..:1...�,L......................................................................................................... <br /> -�...................................... �--........................................._.....----�--................................... <br /> ....................•--........................................................................................---................ .. <br /> Amt......................................... Rec.No..................................................................... <br /> By................................................LC..:_�:'..:.._�«.'�:f-�:�. <br /> Supe:.intendent il � <br /> �a�`�� ✓ <br /> .............."'........................................---'................_.................................................-'---... <br /> ............................................................................".........................."--'.......................... <br /> ""..................'_"'-'--"..'_'.............--_--"'...........-.-"...._..............._-'--....................."'-_... <br /> ....."............."'.........................._..................................................................................." <br /> ....................................................................................................................................... <br /> .................................................................................................................."'-......."'-...... <br /> .......""'........................................................................................................................... <br /> ...................................."..........._.................................................. .................................. <br /> Sl�op Remarks...............................................� - ...................................... --.......... <br /> ............................................ ....................................................................................... <br /> .._....... -�........................................................................................................................ <br /> ........... ........................................................... ........................................................ <br /> ...........................................................................��-�-..............._..............---................ <br /> ......................... ..................... ............................� .................................- ............... <br /> ...................................................... ....................................... ...............�---.................. <br /> ................................................... •-................_................................................... ..... <br /> ................... .......................................................... ............ ......................................... <br /> �'�'ork ComplMed...... ...............__._........................._ ............................ <br /> _...._ .... <br /> Forema <br />