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1115 8TH AVE S
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�.�, WATER SEWER CHECK L
City o f onds-= Wa er:=rDepartment
j"`TAP CARD,' -,.CALL AND FIELD CHECK
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BEFORE DIGGING
�Nfeter ' Tap
t =Size ��........ •• Size ...%D D R E S S 1115 8th Ave . So.
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For Cf12n ........ 1 NAME DATE DISPDSI'
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Make Tap ........ .......
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Send Bills :to=:'.:: :..:..................... (� 7
Date of Work ....1 %-- ..
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OUTGOING Index........ Reg... Route Bk ...... }Stencil
INCOMING Index Reg.,. Route Bk _ Stencil Card ;� (1•/)���'
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