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THE�~�:.ITY OF EVER� fT <br />✓ <br />� <br />, <br />Date ,_ � r.r' t J, �% �� <br />��„�T <br />i <br />Bo <br />Skeich of Proposed Sewer Connection for Building Sitn�a�ed on� z---- <br />-�---- ---. <br />Division or Addition-- � �� � �� « � � /,�� �' /�'" � 'f , <br />? � i �' •I � c` r r� � Owned by-- _� 4 _�" - �' �----- — — <br />No _ :� � I C �_ � _1_ �--- / <br />j'r���,.. �.���:l7"F'i' �—A.r�L �'r'J -------------------s.icensee <br />1{pYL�:afion and Connection by � � `�� �f ,� � ( � � ��� <br />7`f�., ,r� - � i�/ �r�_�.�-/ <br />Remcicks: �� ��r � !i — f�, I � <br />DepW c1 °awe� at ConnecNoa � I �}l�� n!7 � f! v�`� � <br />� <br />., ,,,,a..,.,;.:,,. <br />;'I•';;.t.l- r ' <br />:; <br />V� <br />L- <br />� et✓li'1 t�� ✓"� I <br />��. !�-� -----19 �—� . <br />Connection made the_��==-daY oE_._ ---� <br />� �al1i�______.—_Sup�. ot Slceele and Sewer <br />� <br />_�'� !�, /L�-= <br />Examined and Appro ed by V� y Engineer <br />�G�a,.�.".�' " l.. ,i •.n r. -- <br />By__ _— — _ <br />� <br />_ 7p--_ P 19354 <br />`�'______ . _!____"—.—__Inaecloi <br />By______ <br />