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W. O. FOPH � /�t�'� � <br />ACCf. NO..._.�:. �LI ............... <br />` '- CITY OF EVERE7�—Water Dept. <br />Application No...�.��:;:L.G:..:�.... Date....�1JL..�:...1...:...�c.�. <br />....19........ <br />Install ................................ inch water service pipe <br />Owner ................ .............................. /, <br />� .....�.. ....... ................... ....................... <br />Address ............. .. /._.._�........, �' `2� , . <br />//C� �7 <br />...................._y..... . .C.. .: �L::r<.-�.............................. <br />Lot........................... �.. . . Block No.........................- ...... <br />Addition......................................................................... .... <br />Co n trac tor .......................................................................... <br />...... Rec. No ..................................................................... <br />�� 7 <br />�L: �4�. <br />By ..................................................... . . . . . . . ... <br />uperin�t�e�qdent� <br />��l�". <br />Shop <br />�\"ork Completed..._..........__.... _..._... ......_._._......__...... '- ................._... <br />Foreman <br />