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/74�1 44 <br />1 // <br />Acct. No...Sc'.-..L1.nt.�....... <br />CITY OF EVEPETT--Water Dept. <br />Application No .... L�IV.IY/.. Date........................_..18..._... <br />Install ........ ...... .... _......... inch water service pipe <br />Owner <br />Lot.... ...... ....... ....... _... ............. _.......... Block No ................................. ........ <br />Addition ............. ..... _.... ..... ........... <br />._............__......_.._.._......................_........__.. <br />Contractor............................. _........................... <br />_.._......_.._..._._ .._.._._.._.. <br />Remarks.... _ ....._.._...._................_.........._.....__..._......_......_ ....._.._.._....._. <br />ll- . . ............................. _........... .......... .......... ................... <br />Amt___.._.._.._.._......_.._.._... Rec. <br />ShopRemarks ........ ........................... ............................... _...................... <br />_.............._......................_......_.._..................... __............ ....... _....... .............. <br />WorkCompleted ............... _...... _............................................................................. / <br />Foreman / <br />