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<br />"THE C .TY CF EV�ERE ; T' `'� �
<br />Sketch of Propoaed Sewor Connection [ot Building Situated on LotJ /� Date _�_� ". �+_ � 4�i/'f d',:
<br />Diviafon or Addltion_ L` . . , . • i i � � /.' _ Block � _-- - -- -
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<br />L'i / .• , ., j _ 1"
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<br />No.� 1 �.[. _ ._ �. .� �•-�;-� .;.r ,
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<br />_ _ . _ _. _ _ - -Owned by .:.ln.�i .� f�ln .� I_n.r
<br />Application and Connectl� by �. � � � �=•�. / - - -
<br />Rem�ke:_�' � �' . /r � �• Licensee
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<br />_ _ _ -- ` � % N FF' 2 -//�.is..r
<br />Deplh ol SYvar nl Connectloo I I --- -- ��—�-
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<br />Connection made Ihe ��,�� dQy ot
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<br />j 19 �• � . Examined and Approved by ' " , ; ��,• �
<br />Supi. ol Slmets and Sew��� ,[. �-� �,y. `��Y Cngineer
<br />By� _ '.
<br />�,��s����� 1�334 - -__ - ->— --
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