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�s E CITY Gr E/\�ERETT Date �� <br />Sketch of Proposed Sewer a-i�ho for or Building Situated on Lot-_�/ <br />c� / <br />Division or Addition___�!�— �;---Block <br />No.— A Owned by-=� S _ -- - - ----- <br />Application and Connection by—---------- <br />Remcxks:- -- - "Z¢--- ----- --Aec. #-1Z3 4 G <br />Depth of Sewer at Connection I I I <br />31463 <br />Connection made the, day of__��C_ _ _..__1 . Examined and Approved by_ 1 (kLx 1w�c•-- <br />City Engineer <br />Supt. of Streets and Sewen By ._ <br />By ___.._ 2 cGi_t-L-t _ —___Inspector ` _ _ <br />