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<br />:4ATER DEPT. USE
<br />C AODRESS —'�- j� � � _�ly
<br />LOT NUMBER
<br />P1PE SiZE 9 h1ATERIAL
<br />-- � RECORD-DEPir-USE —•-=
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<br />i DATE OF INSTALATION
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<br />. PIPE SiZE &..MATERIAL IF;
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<br />BAS/C REQU/RE�h'EiYT FOR SKETCH � � - -
<br />I. SH01� SIZE AND SHAPE OF HOUSE . �. - -
<br />2. SHO'N LOCATIOiI 0� NOU3E FROPd P�OP�RTY COr��lcft5, IF ..____
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<br />CAN�T FI�JD PRG? CdF,. LOCAT� FRO',i SUR�OJ��JDING BLDG - __.__._.
<br />3. SHOY! DIS% FP,O?d YOUSE 7'Q 4YAT�R SHUT-OF� (BO"i�f CI���T;ONS). !
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