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'411P0// A <br /> 1.7 J PUBLIC WORKS SIDE SEWER REPAIR PERMIT 0668 <br /> DATE: I /Ss) /i S CHART NUMBER: <br /> SERVICE ADDRESS: SJVCA ZIP CODE: <br /> BILLING ADDRESS: ZIP CODE: <br /> WORK ORDER#: t 9k()OSERVICE REQUEST#: (M°1-79 45-C.3 <br /> WORK C\ <br /> DESCRIPTION: V's.04C4,Ci') `17) crAy\ c\tv-,:%\ti1/4 Ac.) (prap. lake. ryikddee) <br /> 't mck'm 1T-rkS4.4\s‘ (-2,1 \A.Se.r4 Gt -V)Ae Ajo,t-c\-\ <br /> 4.1b1 \Iv\CA:r\ \PJ\le (3'1` )4(2'i(‘ <br /> prg4i, -r ft 40C,_ <br /> C-14- c Aeer) f1644(1) rjer 11)4t. ‘0 C" <br /> ider vkAt S4tC. <br /> ,...7; <br /> INSPECTED BY: ,. DATE INSPECTED: I I <br /> PWSSRP(8/10) <br />