87-192
SAN JOSE WATER COMPANY (\I~ !J r c. RM p;:t.
SERVICE INSTAllATION ORDER N~
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260214
STREET
ADDRESS
HOUSE No.
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STREET CITY
Code No.
888 ~
ZIP
MAIL
ADDRESS G56
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EST. NO.
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NAME AUSSIE~
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Size
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By
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SERVICE MATERIAL
QTY SIZE ITEM QTY SIZE ITEM
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I 11/2"X~/4" Plastic Busing
I 314 rl I.P. Coupling I
3/ " I Copper Tubing I
.4 1 i
I 3'.4 I' I S/L Coupling i ,
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! ;
I 3/4 'I I A.M. Stop i i I
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I ! i
i
I x1" i Saddle ; I
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i 1 " I Corp. Stop# I
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Lot No.
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Street '-...J
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Type~ Offset Split w/SIO No.
Date Issy.ed I.J -.J::1- e::;t-
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By - r(,-l.~_t .J
flateU N 2:~ ~987 Permit Checked
ecelved No. For Grade
Approved for
Plat No. C":.; /:;t- Installation
Secondary Source
~ Renewa
INITIAL DATE
Pressure
Zone
Date Mapped
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