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TI�� GI7C�' OF �V]EP�ETT <br /> - - - <br /> Sketch of Froposed Sewer Connection for Building Situnted on Lot__� � .�-- 3_�. -____ Block__.�_�"_----------- <br /> Div,sion or Addition--------J�L--- ------------------------------------- <br /> ------------------------------- ----------- <br /> _ _ ,c <br /> xo. _�_�al�----- -- _�----���-0C1G�t�Y_9 __Owned by _�v�;-=f--�-� -�1=�--------------- <br /> Application and Conuection Uy-_1!-'-N�_=��ti-_���`�-��r------------------------------------------ Licensee <br /> Remarks --------------- --------------------------------------- <br /> --------------------------------------------------- <br /> Depth of 3ewer at Connection � I I � <br /> _ ---- _ �� <br /> � �,� r- �l r�i(il \_���= - <br /> __,___ _ y_- , - <br /> �• � �/- J -�- <br /> - � { � � I .� • ;�\ <br /> , J I <br /> • r � h�/ —� ---- - -- -- � -- <br /> . --�;�---- ----- -- ---�---- --- <br /> � �I � I <br /> � <br /> � � <br /> �. <br /> I _1 ,, ;-,_, l�-LL-=( - -- � - <br /> -- - I <br /> I <br /> � ,� _ :_ ,; ,;;, I <br /> . — r :,.;�- <br /> Connectionmadeth ._ ____dayof ______�____----19� Exammed and Approved by.,c_'_=/1_--_�-------------.-.--- , <br /> / / <br /> �%� _ ' � ____ ________________Supt. of Streets and Sewers 0 5 7?.7.�=' f Citq Engineer. <br /> -- � <br /> � ' ��2%Y��- B � , r--�-- -�-'-`- -------- ----------- <br /> n- rj/`, <br /> " U --- ---------Inspector. 7,!"-f-- J _/ <br /> y- -- ----------` -- - <br /> --'-=--------------��f=��'----- ----- <br />