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V0, <br />Puget Sound International ixoti, —Lessee <br />Application No. Date <br />WATER DEPARTMENT <br />Install incil water service pipe <br />For <br />OnIlar . ........... . ....... ....... ......... ..... ... ....... . ......... . ... Street <br />Lot No. Block No.-v� / _..._._._....I.._ .............. ......._.....I. <br />Addiflou..... . . ........... .................... . .. ..... ............... . ........ .......... <br />Remarks....... . . ....... ...... . .... - - ., . .. ..... . ..... . ....... .. . ................ - . ..... ....... <br />............ .... ... I-- .. ... . ........ ......... — ..... .. ....... . . ... ....... ........ .... .... ............... <br />L.. ......... ... .... <br />Manuer <br />LABOR AND MATERIAL USED <br />NO. SIZE <br />Connection Cum, ete <br />I ... I Pipe <br />............ 1......1....... ...... Ise'Ace, Cock <br />................... .. ..... .................. .... I service Box <br />................................... I .. ....... I ................. ......... <br />Order Received <br />Work Completed . . ... .. <br />