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/�V �� ;;Z`I -�� � <br /> W.D.PORM 9 ��_ / <br /> Acct. No......[.c._e...:...:........... <br /> CITY OF EVE12E7T=V.�ater Dept. <br /> , �" �_ �_.�. � ....................19........ <br /> Application No..�.�.�_�::�.......... Date........:_................ . <br /> Install................................ inch water service pipe <br /> Owner............................................................................ ........................................... <br /> - . ' . � <br /> / - <br /> Address......._I��.�.........L�.C��:.t.:.�C..t.��.x.�i_t.:.................................--- <br /> L��t..............................................................Block No............_.................................. . <br /> Addition....................................................................................................................... <br /> Contractor.................................................................................................................. <br /> Remarks................_.................................................................................................... <br /> -1 , � <br /> ...................l.l��. :....._..............."'""........""..."""...................""'"'..."""............................. <br /> .......................�........"'""'""'"'"................................................................'"'""......._............ <br /> Amt..............------............---... Rea No...............-----•-----.......--�--.......................... <br /> � ��(i ` J,. <br /> :: �� <br /> By..........................................._�/...�......_--..:':.:.`:.....,�t., <br /> Superintendent,% <br /> .:.-�f- <br /> '-'........................................................................_................................."-"..................... <br /> •"'•""'--'...................................."'................................................................................... <br /> .............................""'-.................................................................................................... <br /> -'..."'-.•-.-".......................................'--...........""'............................................................ <br /> •"--'................................................................................................................................. <br /> ...............................'-......................................... .............. .........................--""""""-'-'.. <br /> ...................................................................................................................................._.. <br /> ...................................."-'....................................-•----......... .......................................... <br /> ShopRemarks............................. .......................................�--.............................. <br /> ........................................................ � ..................................._..--�- -....-�---............... <br /> ..... ......................................... � ............................................................................... <br /> ........ ........................ � .............................................................................................. <br /> ............. ....... � ........................................................................_................................. <br /> ........................................................ ...............� .........--.............---.................. � <br /> ............................................. ...................................................................................... <br /> WorkCompleted...._......................................._........_.....__.......__....._ --.......... <br /> Foreman <br />