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BLOCK .......... <br />NUMBER ................... <br />ADDITION ................ <br />Distance A ..... L .... FT .......... <br />IN <br />B .......... FT ......... <br />IN <br />C......... rT .......... <br />IN <br />D .......... FT . ........ <br />IN <br />Sine of Connection ................. <br />Date of Connection .............. <br />. <br />No. Hours of Labor ............... <br />Buildingi <7---C ... X D > I Li <br />ne <br />i. <br />mm <br />STOP Ex I COCK <br />STREET............................................................ CURB <br />. ...... ...... ...... STREET <br />WATER V MAIN <br />..............In. Lead Connection Comp ..... ......... ..............In. Saddle Comp................ <br />............................. <br />.............. Feet ........ ....... In. Galv. Pipe.......................... <br />..............In. Service Cock...._..,................... <br />..............Service Box <br />