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THE C:TY OF' EVERE": T '� <br />, Data —: :T; . ,, _ <br />Sketch of Proposed Sewer Connectio.i ! u Buildinq Siln..ced on Lot �-`�"'i �� %.%. ,�/�>_ _ B�ock " <br />Division or Addit�o¢ �� _ � . -. -.1 " - -1�`- -- _ — -- -- — --- <br />/."� � ! � -i �' <br />No._ ��' f•n'� � i //' <br />— —=� � � -- --Ownedby �_ . •_„ ,.1 _ � /.'I.�J�.u�:.�� <br />Applica�ion and Connection by _� � �� - � '� ` _ Licensee <br />----- <br />_ _ _ - - --- -- <br />Rem�ke:��•__1`-'r..=_= i. .• � �5 - �—�� -- - ._ _.. __. . _. <br />Deplh of Sa�ror al Cocmecllan -- I I � � <br />1 <br />�„ � �„ <br />C o-u �tc.z'` r,_— <br />�v.�iui-�c.,` O.X �i.�LT' �U;-�.,tfl <br />, � <br />�'�u.c. G� ��� �ir-i��.eu•- ,4.«,�dc_:� <br />G�� � <br />d: .-✓ . � o-u �u fc, ,.tc �_-... <br />���/�� -} / , <br />U' l.�' �.LI,:.L:. («�G.wa.. . <br />� <br />i i CY, <br />Connection made lhe. -` � - _day o( <br />l <br />-J�: ��� �� ���� <br />y, /�v-� <br />ay _ l _1��� �, y <br />-�- <br />I <br />� <br />1IIY�Y"---�t�—j-i�� _ __I� � <br />I —____—' I <br />� <br />�`-'��� 19� _�. Examined and Approved by_ .� . _ _ '� <br />� CIty Engince: <br />. Supl. of Stroete vnd Sewero By L� _��. ._ _/. ._ .__��___ <br />Inepoctot ������ _ <br />