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WATER SER l//GE AS -BU/LT <br />WATER DEPT. USE <br />ADDRE33 � qDGj �y)U 1� I t TFl> fii Vn <br />LOT NUMBER <br />�PIPE SIZE d MATERIAL �/y" P���T1L <br />RECOR� DEPT. USE <br />DATE OF INSTALATION - .�-8 <br />PIPE S12E d MATERIAL IF CONTRACTOR INSTALLED <br />PERMIT NUMBER 3�FS� <br />--�y«�. � <.Q �f�.�v, SKETCH �-- _ <br />, <br />ae;�l9 �`� _-- <br />� <br />� <br />� <br />� <br />�_ <br />� <br />;_— ; �� -- -, <br />,. <br />� � ; <br />� <br />� <br />, � <br />� <br />(�— _ � � <br />; �/ -- _. �.'Z.— <br />;i '� <br />'' �� 1904 <br />� -- <br />� � MuK i �T E <br />� - <br />�4'_� <br />; <br />v <br />., <br />BAS/C REpU/REMENT FOR SKETGH ' <br />I. SHOW SI2E AND SHAPE OF HOUSE . <br />2. SHOW LOCATION OF HOUSE FROM PROPERTY CORNERS, IF <br />CAN�T FIND PROP. COR. LOCATE FROM SURRWNDING BLDG. <br />3. SHOW DIST. FROM HOUSE TO WATER SHUT-OFF (BOTH qRECTIONS:. <br />� ---- .... - .. , <br />._1 <br />�� <br />`1 <br />J <br />