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w. o. ronu o `% <br />CITY OF EVEREM— Water Dept. <br />Application No ..... /.j.iab.Q...... Date ............. ............. _... 19........ <br />Install ................... ....... _... inch water service pipe <br />Owner............................... _................................. ....................... ............................... <br />Address... _............. �.6.... ............................... _.._......._._......_... <br />Lot.................... .._......... _....................... Block No ..... ...... ... ........................... <br />Addition..............._.._......_.._......_.._.._..».._.............._......_......._._........._.........._.. <br />Contractor................. ............ _.................................... ._..___......_.._.._...... <br />....... Rea No...._.._.._......_..___ _.._.__........_.............. <br />By...................... <br />�¢ tndeni e <br />ShopRemarks ............... ....... ........... _...... _..._...__..... ___.._._....._......_..__.. <br />