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Y' <br />THE :.1TY OF' E=V E R E_ TT Date_(' <br />Sketch of Proposed Sewer Connection for Building Situated on Lot- - - _—_ __ —. Block_. — <br />r <br />Divituoa or A{�fition— �/!I i i y t>! r <br />No.— �.� P t'•r� �/-'-v'd�� Owned by v � % --s <br />Application and Connection by_ {�?iv -Licensee <br />r'_ r,. ri /-✓ S h a-f/--- <br />Depth of Sewer at Connection <br />71 <br />G f lllanh� �� <br />i <br />.� C � ' 19.6�"-. Examined and A roved by —I — <br />Connection made the- - — <br />I�+J�- City Engineer <br />_ __Supt. of Streets and Sewers By <br />By —.___ <br />r l_,. ___—_lnspeator 21361 -- <br />