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� �j S� . Tti <br />C� <br />��`� � .� a: �°`` Acct. No..._�/�.:�.f..... <br />�� <br />- ' . -Wa:cr Qept. <br />Application No.,.i�_��.r..Y..__. Date ..................::.`...L........................19...��._:i <br />Inslall ................................ inch water service pipe <br />uwner....................................................... � -............................................ <br />Address.......�>.,�� %�Fz::�-:........C���s.�iC...�c'F�.' ............................ <br />. . ..... ............... . <br />T.nt ...............�--..................._........ Block No..............................---'---........... <br />Cont. .ctor ........................---............... -. .._............... ------........................------......... <br />Remarks.-----..��� ��!.�.' — ...........................................................................--.....--- <br />Amt.---- .............._.....----.......... Rec. No....---...................... <br />� <br />........................... ... <br />Shop <br />� <br />�4�ork <br />By..........................--.............---•- --.................................. <br />Superintendent <br />r c reman <br />