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✓ LOT..........::.�...:..:.:..... <br /> BLOCK......._............. <br /> � NUMBER.....r:.l..:'...-- � <br /> � E., ADDPfION................ x <br /> � � <br /> Distance A.........FP............IN <br /> vi " B..........Ff......._...IIV � <br /> p " C......._.FT............IN y <br /> [�y " D..........FT............IIV � <br /> '7 <br /> ySize of Connection.........::....... .�. <br /> � Date of Connecdon_,t.,:..c./. '" - <br /> No. Houn of I.nbor......:........ <br /> Building t—C—X—D—� ........Line <br /> ! •ii. �� <br /> /'� r � <br /> '� �TO� %❑ COCK <br /> STREET ............................................................ CURB <br /> ____.............._..................t ...........................STREET <br /> WATER � MAIN <br /> ..............In. Lead Connection Comp......................... <br /> ..........In. Saddle Comp...........................:_......_....... <br /> ..............Feet................In. Galv. Pipe.......................... <br /> ..............In. Service Cuck......._......................_............. <br /> .............Service Box. .................................................... <br /> ...................................._..................................................... <br /> ................................................................................._....... <br /> ................................................ <br /> .............--"_....................... <br /> ^�'?-U <br /> t_ <br />