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W. 0. FOPM J �./ �� �� <br />; <br />Acct. No.:�r..�-,7/.�..J`�..... <br />CITY QF EVEk`ET� = Water �ept. <br />Application I�lo..��.�L:.,�....... Date....._....>>?�:./..::.G...(j.l ............... <br />...1�J...---.. <br />Install ................................ inch water service pip�, <br />Block <br />Amt......................................... Rec. <br />sy...............................................���d..:...,��.'�� < <br />Supetintendent. ,� <br />��r <br />Shop <br />........... ......................................................................................................... ................ <br />�\�ork Complcted ....................................................................................._. <br />.......... <br />Forc n <br />9 <br />