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W. O. FOPM J�oI�OII�v _ ` ACCt. 1\0................................. <br /> ' `ter Dept. <br /> �l�`il i, � � <br /> A lication �Y.. �� EVER�Ea7T . Wa' 1 _ .......19_F/� <br /> � � <br />� pP / ., � ......... <br /> Install... � inch water servie� pipe � � __ / <br /> .......... .. <br /> r � l F� �c . <br /> ` llcll/ ' � .. �.,- �-s.�� -�v ....`.:...'.�..... ..:.. <br /> � <br /> �..... �.-�-aJ-/-v?�/ ................ . <br /> Ownee-.._i.....:.:.._::...................:.....................:.........:...__................. <br /> .. . <br /> � -. - �' . �. .,.•-. .` c' <br /> I ,. . .... <br /> Address......._�:�-�..� 2 J ..............:.......... <br /> .............. <br /> Lot..............................................................Block No.....................----- ..................... <br /> Addi tion........................................................... ........................................................... <br /> Contractor ..f .... .... � �.... .............. <br /> � .. � <br /> � ., . 1 : �, ,� ��.._.,C,�-/ <br /> Rema��cs :i�� � c.yi < .. .... <br /> ..._ . .. <br /> . � l � l , c r�P- iz�� � � ! <br /> �;`-A/. . _ i��.� .�� � �� . . -__ <br /> .....................:.......l....:.:................................ _ G/�. <br /> ...................................................... ............................................................ <br /> ..... Rec. No.........:i....%.—':r..�......--..................... <br /> Amt................................. . ��- ,,, 1 <br /> ..'�i-� lr;:�:�.:::�':'............ <br /> �:.:..1. �� �--.... <br /> sy....................... ............!� <br /> �uperintendent <br /> .......-'..................................................... ........................................................... <br /> .......................................................................................................................... <br /> ........................................................................................................................... <br /> ...................................................................................................................... <br /> .......................................................................................................................... <br /> ......................................................................................................................... <br /> ....................................................................................................................... <br /> ShopRemarks....................................................................................................��---�- <br /> .................................................................................................................... <br /> ................................................................................................................. <br /> .................................................................................................................. <br /> ............................................................................................................... <br /> ......................................................................................... ...._................. . <br /> ................................................................................................................. <br /> .. <br /> . . .. .... ... <br /> �Vork Complete ..................................... ............._........................_Foremun <br />