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� "�"HE (..lTY OF EVEREI f �
<br />Date_.-_ � /-Z _ _
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<br />S,cetch of Fropoaed Sewe� Cor.nnction (or Building Situaled on Loi g���k i� __ __
<br />� Diviaion o: Add`tion- , C� �.,�j �� 4.L ��� ..�- _
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<br />Rpplication and Connection by. _ _ -y IG=, � , . n ' '✓
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<br />R�3marke'_ � (��il�n1�1-� ��w'�_' -
<br />Deplh ol S�ner al Conn�cllon —� I ��_' �_- - I �
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<br />Conneclion mado the "� ' day of > � �= '�� ��� � • . 19 �_�. Examined and Approved by /� � y�,�,�Vly�f�_
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<br />. . � �� City Enqineer
<br />Lupi. ol Slreels nnd ,S�ivon By �`! 0 9. /�q4 �
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