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THE C.'�'iTY OF EVEREI�'9- �/' Q � ' <br />Date"_7f.' � Q � ��' _ <br />Sketch of Proposed Sewer Connection ior Buildinq Situated on LotL<t�11 ___J_' �� $�ock _�_ ^� <br />Division or Addilioc����LIi���___�� � ----- --- - — <br />--/.�f/ ,,(/ �., ' - <br />No.— `L�X--�'=�l91�' � /i�P/ ----_Owned by. _ —�li���4e+' � ��_ _ _ -- <br />i <br />Application �nd Connecdon by�C���—����G"� _.,_____ _ _ _____ Licensee <br />/ - --- <br />.. '/ _(. �3 � �f.�u D' _ <br />Rem�ks:—�! �H% —�_�i� _,.- _��_ _ . �l/ 9�� - -� r--j �[2=Yrr�-- -- <br />Depth o( S��ier al Connecilon I I I � <br />��J <br />i,� / <br />�C C.�6-ar- �o b ' .�- <br />O , ' 0""���"`�' t�^^. `T�-� � <br />V <br />� I I R..Y� . C M.l,Cnt.Q'�t, /ia��*t� � e <br />}� �,p,���� 1 '\— <br />�-b �iti^-"`�(t�Wlw � <br />4-" 4? , h. e.o.u.�.�c.t� �a..x�, Q. <br />�o •�-ou-ti �+�.... . <br />\ {� ) -�^_ -W-(J��. C�4a.a <br />D <br />`111o.u.t� 1 3� � 9 G �- �. <br />�' �� 1 <br />� \;' <br />�� <br />\ <br />L_ <br />i <br />� � <br />l� � � <br />Connection made the_ `� 3^ada of. __.�0.J-`'�-_____19.6 L, �. �� �Y7� <br />y Examined and ApPPrpved by_ �___ <br />- -- — <br />� ¢i , _y �/f� 7r/ C y Engineer <br />_ i�,(J-�W_+4� _ _ Sup1. o! Slreele and Sewere By_._ _ %� _ � � ' �� <br />(�� . y.— <br />By_.__ ___�N•._ .._ . Inepecto� <br />'�t-.------ 201 �1. <br />