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Building <br />LOT. .................. <br />Z <br />BLOCK....... ... I.......... <br />NUDfBER.... ?....Z.q.. <br />ADDITION ....... ........ <br />z <br />Distance A......... FT. ........... IN <br />B... ..... ..FT ............ IN <br />O <br />7 <br />D......... .FT ....... .... IN <br />Size of Connection ..... _..... ..-.. <br />y <br />Date of Conneclion..rr._:: .. <br />`_. <br />No. Hours of Labor ......... <br /><ā€”C--Xā€”Dā€”> <br />........Line <br />A <br />1 <br />i <br />STOP %ā‘ COCK <br />STREET..... ..... ............ ......... _....................... .... CURB <br />_._._.._ .............................. I. .............. _........... STREET <br />I <br />WATER v MAIN <br />_....... ... In. Lead Connection Comp ........ ................ <br />_........ .... In. Saddle Comp ................... ......... _....... _..... <br />.......... ..F,_et................In. Galv. Pipe ........... _........... <br />............In. Service Cock .......... ..... _............................. <br />...---- ._.. Service Box ......... .......... ........... ...... _............. <br />