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�'I—�� C.TY OF EVERf� :i' .' Da�e��.�� �" <br />Skelch of Proposed Sewcr Connection for Building Siwaled on Lot�y :-�U. __.---- <br />Divisioa or Addition _ __ _- _-- - _------- - --viocx �„ • - - <br />�'i 3 / � -. n.� _Ownedb �"��l�.CL� %_�:CG. �✓r�P�--1 <br />No.— -- �._�t�;s. c_- - - Y ---�'` - - <br />,�/ / . >C=ri'7 i L cc <br />Application and Connectiou by—._��t =' . ni il=i �' r`.f' S --_-- -- <br />Rem�ka:-------'S 7 ':.� �� i,.r ; ; ,_�_`j - - _ -- Rec. #. ! 5.,�1'-� <br />Depl6 0l S��ver at Connectlon I <br />J <br />!� �, � S (�,.�,,,, ,�,.P-,� a.��., i <br />� p� �° .Qic-y Lir.o. `p � <br />`lls+�.4. � U�7a�e ��kus �� <br />��,�,,, 3' ,(,.o�.�- ,��` ' (� <br />-- .—, <br />c ,�;r✓ <br />�' � � � � <br />Conn�ction made thc �_�� _day of_ -- 19�_. Examined and Approved by__�_�_JL� 4�< <�� ''` � <br />l� Dvt-Wt�-<<---- -- - <br />- C�ry enyi.eer <br />. _ _ _ Supt. d Slneb and $�weu �7-- - - -'— <br />_ , . _ . , <br />r�pp(�^ • ..��1'/ <br />-- <br />�__'.__—_'___._�__—_—_____ In�pecla� GUOJ`! �-' � �� � . <br />