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THF CITY OF EVER '=TT <br /> Date_ _ . <br /> _ _ _ _ <br /> ctch of Proposed Sewet Connection for Building Situatcd on Lot <br /> Dlock � <br /> Division or Addidan_ .- -_._,: - - - <br /> _— .. _ <br /> -- <br /> No._._� ---� /�� -- - _ <br /> • .. � _ � -- <br /> _.__...--- ---- - OwneJ by - .l� _ _-'- " n.i o�.z.�(� . 'J- <br /> Application and Connectton by_ � _ , , , � �—�---- <br /> --- ---------- -Licensee <br /> Remarks: _____ _ _ <br /> _ _ _-- - -- - <br /> Depth of Sewer m CunnecNon I I I � <br /> __- �.�..J � <br /> -------- <br /> _.-- ---._ - i . I <br /> —___ <br /> ---�, .. _. _ _. .. . _. _-- - --- -- <br /> � <br /> . , . , .� ��- .. . I , <br /> . � -- . _ . .- n ',�� : ' - . <br /> . � ' lel. � i7n� .. <br /> � <br /> Connccdon madc thc day of . . 19 . .. Examincd an� ApprovcJ hy . <br /> . _ _. . . . c�n 6„r��.,. <br /> . — - - . _ Supt.i:(Strrete and Sewcre �t�. <br /> ❑y <br /> , - - - Inspecwr <br /> �.,o�...-.�.�...��.�,.. <br /> 11 �._ �� <br />