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,. �� � <br />;` '" TQ-IE C��TY UF EV�REi� � �/Z ✓ <br />Date� <br />, Sketch of Proposed Sewor Conneclion for Building ituated on Lot___ _�d' ____-_. — Block____iZ _ <br />��� �� <br />Diviaion or Addition l�c,�r. �-r.[r.n ,W'. �% - -- - - <br />No.—�!� � � �!/fA -•r � � <br />� �- �`,�-� ��Owned by---- f'v`e��M-'�-'�_ F-- <br />� j� /J �------- <br />Application and Connecfion by—�s�__..T-0x'T'-^= '�- ------. -- --. ------ - --.--- - - Licensee <br />.,..._ � .� .. , _. .- <br />A <br />v1 SeYViCe ConnRS. —� <br />DopW o! Saaer at Coaaoclloa <br />Cdyy.�,�X,<L �'f l�i ,(�'.,�R..Y Y -,. <br />11 <br />L <br />i <br />� <br />—I �Y �.�_ _ - - � <br />Connection made the_ _L �� day oL- �� �___—__19 ��''. Examined and Approvad by__ �` ��/ � ��✓� n <br />�'��7 ( �/ '�-} —�.�City Englncet <br />� - _____—...__._.— Supt, ol Stceote and Sewere Hy—_— __ ��✓ 1- �%� <br />`�'�—._—.__ _— - <br />By___. �—i=%���Y..____—_—__.--_inepoc�o: �,JU1 f` _— <br />