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I <br /> { <br /> , <br /> i <br /> i <br /> � <br /> ' <br /> w. o. r + a �7� • � <br /> Acct. No................................. � <br /> CITY C1F EVERE77—Wat7r Dept. <br /> Applicatimi No...�7..�...[..... Date........�../�.�.....................19..7� <br /> InstalL..'�.��........._... inch water service pipe � <br /> Owner.................................................... .... ..... ........................................................... <br /> 2 .-3 �� � �-� ��.�.. . ...................... ................... <br /> Address...................._...........................�: . <br /> Lot..............................................................Block No................................................ � <br /> Addition....................................................................................................................... <br /> Contractor.............. ............................�...................................--�--........i............ <br /> ...C:�--�;�...�..........._!:.�"'.".:`.....Z � �G��.,�... <br /> Remarks.......... ...... <br /> .................................... <br /> ..................... ......................................................................... .............................. <br /> ................. ....... <br /> ................................................................................. � <br /> Amt....�--•�--,........_...... Rec. No....................... ............................................. <br /> .... . ................ <br /> � <br /> By......................................................'SuPerintendent <br /> .......................................................................................................................... . <br /> .............................................................................................................................. <br /> .........--"........................................................................................................ <br /> ............................................................................................................................... .,, <br /> '...................................................................................................................................... �i <br /> ...................•--...............................................................................................----.... <br /> ...................................................................................................................... <br /> .................................................................................................................... <br /> ShopRemarks..............................................................................................•--.......... <br /> ..............................................................................................._................. <br /> ..............................................................................................................._.. <br /> ................................................................................................................. <br /> .............................................................................................._.............._ <br /> .................................................................................................................. <br /> ............................................................................................................... <br /> .............................................................................................._................ <br /> .............................. ............... ............ ........................................ .........�... <br /> Work Completed...._�.../...3.�.....7..3..............................W....�`:. .�..._...� <br /> � Foreman <br /> r <br />