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Printing Order No. 1578. <br />LOT --------------- <br />BLOC% __Z�_____------ <br />NUMBER �___--- <br />_.___ <br />ADDITION ___________. <br />Distance A.___ -_FT ------ IN <br />" B_^ _�? FT__ ___IN <br />" C------ FT ------ IN <br />" D____ —FT_---IN <br />Size of Connection --- <br />Date of Co'anectionj- <br />No, Hours of or, __-_------ <br />>.__. C--- ,_.,X.___,p ____> <br />STREET — --------------- <br />CURB <br />C <br />_/STREET <br />WATER MAIN <br />--------- In. Lead Connection Comp. ______________ <br />_______In. Saddle Comp. ------- _-------------- <br />------- Feet ________ In. Galv. Pipe ------------ <br />-------- In. Service Cock ________________________ <br />-.._Service Box <br />-------------------------------- <br />----------------------------------------- <br />