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1'. P 1-.) C : r? Nk. Ca. <br />LJi _.__..__...... _. <br />BLOCK -- ________-- <br />NUMBER _...i_:.. <br />ADDITION' <br />Distance A ------- F('------- <br />IN <br />,•—� B ...... I-T....... <br />IN <br />C _..... FT ....... <br />IN <br />•• D....... FT------ <br />IN <br />Sire of Connection <br />Date of Connection..:___.:-_. <br />No. Hours of Labor .....___.__ <br />z <br />9 <br />rr. <br />C <br />T <br />H <br />m <br />m <br />H <br />_.Line <br />STOP V COCK <br />STREET ._..... .-- .......... .............CURB <br />.,.' .. -------------- < .. ..............STREET <br />v <br />WATER MAIN <br />-------- In. Lead Connection Comp_________________ <br />-------- In. Saddle Comp ________________________•.. <br />____.._.Feet.___.. _.In. Galy. Pipe__________________ <br />......_.In. Service Cock __________________________ <br />..__.___Service Box <br />.................................................. ! <br />