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Building <br />.. .-_ <br />LOT.....:; .— ...: <br />f ) <br />BLOCK.........?,. '\ <br />NUMBER... �. �..1:... <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 Connection ............... <br />No. Hours of Labor....... :....... <br /><...._C_._)t—_D__> <br />........Line <br />A <br />\DViL.-fA-'�" <br />.TOP kO <br />DOCK <br />STREET ................................................... <br />_.._... CURB <br />__._.._............................ I ...........................STREET <br />WATER V <br />MAIN <br />........ ...... In. Lead Connection Comp ................. ....... <br />....... ..... In. Saddle Comp ......................... ..... .... ....... <br />_........ ....Feet ................ In. Galy. Pipe ....... .............. <br />.... <br />_..... ......In. Service Cock .............................................. <br />_........ Service Box ..................................................... <br />......................................................................................... <br />.......................... _......... .. _ ........ ............................... ... <br />...:....._.._....... <br />..... <br />........... <br />............ <br />._..-__........... <br />......_.. .. <br />