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14-17� <br />W. D.IORM] /79-29- <br />CITY OF EVUETT —Water Dept. <br />Application No ..... I:l. JZ.�..... Date......... q..c..../.r.�l.s f ......... ..19..._... <br />Install. ........... inch water service pipe <br />Owner <br />BlockNo .... ....... ....... _.............. _....... <br />Addition ........... ........ ...... _............................ ... ........ <br />..._.._.._.................._.............. <br />Contractor ............................................... <br />......... <br />.._.._.._.........._.._ ..._.._.._...... <br />Aral....... Rec.No.... ........ ...... _._.»..._..___.. ._......... <br />By ............................. <br />. <br />upe/rintendenS <br />............................. .......... _....... <br />Shop Remarks .......... .... ................................... <br />......_.._.._..._._.._......_.._.._......_.. <br />Work Completed ............... _.F....................................................an......... <br />orem <br />