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✓ ; <br />THE �:ITY OF EVER�'"T c <br />Da�e ,�• /� � / <br />ukelch o: Pzoposed Sewer Connection tor Huilding Situated on/ Lol ��r ._ -..._- Block_ _— _ <br />Diviaion or Addilion__ �=�•:.�t_'/. ��' //`x � L' - .---- — --- — --- <br />�% / _ -- <br />No._—�l % _+�d'.. ' t�`� - --- —Ownedby _r~-�/.• E� - �`�,i_�- I`Ci l�__ _ -- <br />/ �..,i � <br />Application and Connection by h -��-'�?1=�--- - -- - - - — _ _ _ _ - -- Licensee <br />�%. � �t, 1 %%t'ILl -f�'�. - `f f`�� /.L� <br />Rem�ke: `-'-� --�: � --� ---- — — — � � �-' — r=-� —� -- <br />Deplh ol S�aer al ComeNcn I <br />.�J <br />I i� / <br />� � GN NCG�i.o� L' .C�.C..(:.iia.M <br />' � I.ILJ.KY <br />tL1 �I1.uX (���u �y x��w � <br />J ' <br />��a.�+.. .1�:. �.c:.. . <br />I <br />y" J:, k1. 1��.. r� r:, rZ..<<..�. �-..�.. f� <br />{�L'.�L.�.. :i1f. i..�. . <br />I%f'!���f `,rff�'1s� I � <br />� � <br />� <br />Connection made the_ �� day of _ <br />/V <br />_._— —__J�A� . (� . . <br />BY—_ _ . _ __�%.���1F,f...�, <br />1�'<,r..� t <br />� <br />� <br />� <br />I \ <br />V <br />� <br />\\ <br />��J <br />\ <br />l— <br />I <br />I � <br />, / . / <br />� I � i' '._j�• " !i" 1 _—. _ <br />19..__. Examined and Approved by. ._-%._-- <br />�City En9lncer <br />_ Supt, ol Slroole and Seweu By- . 1/�'b�2!F -_���=-'-=�- ��'��-- --- <br />(� { '� __�_. __ <br />Inepecto� � v J � � � -.�-�— --- -- <br />%1 J. �� <br />