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TH E C� i'Y <br />OF EVER�T , <br />Skelch of Proponed Sewer Connectio tor guild ng Situnted on Lol �' S <br />� � % , r / � • +' �.' <br />Divieion or Additlon- --l�--xN'.�..i[ ��J �.--'�'_rl-�--- - <br />No.— _�'//__1:1���q�-- n--- --Ownedby <br />AppIIcaBon and Cumie�ticn by—�.��r : �_� _---- -- <br />/ c ., �' - -]`- � . <br />Aemmks:__(.G�" � _itir.., �t _�f3_:L-- <br />D�pt6 0l B�a�r al CmwMton � <br />��ir C EY1AM1.(.�^+ b 6�� p,�kl-�A.�-t..✓- <br />-- r <br />Qt ,��gv�4 ��,.t1 L:.�.�. �' 6" <br />Gnakew R-u-�+-u- <br />4-' 'J�. -i7, c a,.u..,,ct� p�,,.�.-� <br />� te -'-tu.:�, rF.�a� � <br />� <br />Connectlon made the � i�- day ol <br />��' <br />BY ._ _ (���� " <br />'} I <br />1) <br />Date--=�n.,_1y ��'= <br />_� Block -J <br />/�/i/ �,- �-- <br />(/L',/llQ.- t/'.c.ly�i.---� <br />✓ <br />Liceneee <br />� <br />� <br />� <br />'�� ��'L"�'�'�-y _ 19 �%�.. Examined and Approved by. i�� V_✓�l°�•: -_ <br />' f!� � J ,�.__.. Clry Eaqinear <br />Supt. ol Stuelt and Sr�vp�n By- . /��:J� .�V' i <br />In�pector �OQO? . _. .. _ _ ___.______. � __—_— <br />