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u ,et SoLttt� International'flaihvayMM'NJwa-ti.:k4zE04 <br />Application No. . �� _ Date _...... �........._...._..IJ/ t{ <br />WATER DEP�RTMENT <br />Install `Z,��._........_....Anch water service pipe <br />For ..... _._. ......... <br />_ ..---- <br />On <br />l .� tilrcet <br />Lot No / 2 1.3 /L( -_ ` ock No. _ �.� .. <br />Addition._.._........_.---.�_._...__.__.._......._. __...___. - <br />Remarks _...__ _.._......... _..... ._........._ <br />................................. Pipe <br />........_...../.................X� ..._.IServlce Cock <br />._....................................... .....IScn4ce Box <br />_..__.. <br />...... ............—_.................................... <br />Order Received <br />Work Completed <br />