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LOT. f... <br />- <br />........ <br />BLOCK . ...... . <br />— ...... <br />NUMBER...._._ <br />........ <br />ADJ)IfION.....� <br />... <br />Distance A .......... IT <br />IN <br />.... ....... <br />to <br />B .......... FIT ..... <br />.,.::q <br />0 <br />C .......... FT ..... <br />...... IN <br />D ......... FT ... ....... <br />IN <br />Z <br />Size of Connection......::_....... <br />Date of C,i%,ection- ........... <br />No. Hour& of Labor.........:_:... <br />Building <—C---X—D—>l <br />0 <br />ftj <br />Ln <br />A <br />M I <br />STOP X❑ COCK <br />STREET— ...... ...... . .. . ............ ...... .... CURB <br />............__...........STREET <br />WATER MAIN <br />..........In. Lead Connection Comp.... <br />Saddle Comp........_............_._.._.._._.... <br />Yeet .. .... ........ In. GaIv. Pipe......._. .............. <br />............In. Service Cock..._......_.........._......_.........._. <br />.............Service Box......................................_........._. <br />