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'W. �.���� O • • <br />Acct. No. i��:�--C�� <br />................ <br />CITY OF GVFItETT—Wat�r Dept. <br />Application No.....�.`r..�.�.`� Date ................j..�::...�-...7.... .....19..��...(/ <br />/� <br />Install...--•----• ...�................ incl,.vfater service pipe <br />Owner.......,��;_c:.:l..C.'�..c:.�.::Ci Ct.r---_!r�• <br />..................�..:.: ....._�.................................... <br />.�ddress ............... .....-......:.:.........d-........ �2,.E:.-��...<<<< <br />. <br />.................................... <br />Lc:......................_���_�.......................Block No...................._........................... <br />Addilion ... ................ <br />.................................. .... .......... �-�- ........................................ <br />Cont-;^tor ............ : <br />. _ .............................................................. <br />.............................. <br />R ;n +rk� ...._.._ _ .:...��...:. <br />- -�-� .............................................................................. <br />r - " � <br />... ........ ... ...._.... .. - ........ ........................................................_......_........ <br />_ .......... ....._......................... <br />� _._ ...................................----.............................._. <br />?.mt..c:0....�-� ........................ P,ec.No..,..�.�:�.�....................-----................ <br />G .. > <br />B `� � 7iy-c- / � :�� <br />y--_ �...:..1_.......:c..........�;../. � �,/ <br />; ...C.L... .-.J.�.`.�:.r`�c _ <br />Superintendent �� <br />� <br />....... .. .. ................................................. ............. .......'-...................................... <br />.... ... .. .... .................................... <br />...............................................................'-............. <br />Cl�, /!�/� <br />- .. .............L........'..._ ,....GL. �.......... <br />. ................................................----- .._..... <br />......... ...................... -- <br />5�101) <br />............................................. . ......./................................. . <br />..../..L.'.f.'...r.�L4�......Fa ...6�l,4.( .................................... <br />.� �/�� t <br />.'_ __""_'_._._.�............_ ........................ <br />S—::G -F y <br />.... ........................................... .................................................. <br />.................................... <br />�� � <br />........... _....... _�: �. _lSc%./:..SZa..t?6`�.� ........... ........................................................"-_' - <br />................. _....1...�1FGa.._�1.�-.c`-,.�.:t�.,.:.-:....._.........--�- <br />....--'...........-""' ............. <br />.........................<....r:,:,,.<:..-�.i .. <br />....................................._............_ ._...._.............................................._........... ......... <br />... _ _ ......................._....._......_.................................._........_............._................._.. ._.. <br />i(�i <br />N'orlt Complcled..>..r._1.9...:.G..`C ................,.,�/.".,.L..t.� �._,_..... <br />_....... .. _. <br />Forcmnn <br />