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W. O-FORM I /I /' T <br /> neat. No....tP..-.!/.L5..r3...... <br /> CITY OF EVCREW—Water Dept. <br /> Application Ne..... ... Date........... ............19........ <br /> Install.............._............... inch water service pipe <br /> Owner......................_..........................}J� .............._._.._.._......_.............._......_...... <br /> Address...............o2Gt ..-...1�10.....---............._..........._......_.........._.._.._.._... <br /> Lot..................._.................._........._.........Block No......................_.........._......... <br /> Addition..................._......_._.._.._.............._.............._.._......_.._......_.._.._.......... <br /> Contractor....................................................................... <br /> _.._._.._.._.._._... <br /> Remarks................._.........._..............................._._._.._......... ._.._....-._.._.._ <br /> ......._........../ .._......_......_.._._............................................................. <br /> _.._.._.._.._._............................................................. <br /> Amt......__._.._.. ......_.._.._... Rec.No........................._................................ <br /> rr <br /> GOe". By............................ <br /> lei _ G —,?z uperintendent <br /> _............._..................».._.................._.._............._.._... <br /> Shop Remarks..............._............................................................. <br /> ....... <br /> _............. <br /> WorkCompleted............................................................................. <br /> FJ. ..remaein.n...... <br />