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ao�� 8 � � . . <br /> _ Acct. No............_................... <br /> /�er Dept. <br /> Application No�On��RDatt._ ✓�.�`�.��'�`�..._.�—'��.....19.�� <br /> Install.......... ..._ � ..... inch water s�vic `pipe <br /> ..�.... � , , , <br /> �.:......�ZE:t�i_;J .�. ..... {�""�:12.. .--`..- . . ^ � <br /> Owner��..... ...._. .. .. ..... .. _............ �i �............ r,.... <br /> /GJ. ti,/.',C.r.a.r.L..��,:.�...�5.%,::....... <br /> Address................. .�:............. <br /> ��. <br /> Lot..........._�l .............................Block No............................................... <br /> Addition.............. ................................................................................................ ..... <br /> Contractor....... ._. :.............. ......../. -� � ' <br /> Remarks��<c.;;��...:x��..�..z.�?�....Lr..✓�..t:cz��.:.i::�::-�`.:�,"/ <br /> ..................................................................................................................................... <br /> .........................................._.............................._............. ........... ............................. <br /> Amt......................................... Rec.No....._1....�.f ........ ................................ <br /> ,� � ' / <br /> l .��f......................... <br /> By..................�..........1....... �.. ,,(( <br /> . // Supetintendent <br /> �� <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> .............................................................................................................................."-'--'.. <br /> ....................................................................................................................................... <br /> .............................................................................................................................'--...... <br /> ShopRemarks................................................................ ......................................... <br /> ............................................................................................................._...................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ......................................................................................................._.............................. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> .................... <br /> �'Vork Completed............. .................................... ............................... ............. <br /> Fore an <br />