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THE :.ITY OF EVERL-TT 'ma <br />Date r 2-7 � 9611 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot__. /J __ f — Block_ 4- <br />Division orAddition- _ UYUr I 1r7. 17rfi^l____ <br />No._ _ `�_� -:�j__ :1 /i. , L Owned by - <br />Application and Connection by—._, / �lli�__ ,may Licensee <br />Remarks:` �•)/�� �a %. , / - / �r nib " u " / <br />Depth of Scorer at Connselton � <br />/: / <br />11 <br />,,•off' Caun.�, fo ,�.nu,e.._ cCn.a..h..� <br />fi l� c sw 9lo_9 <br />Connection made the_4?��- day of_"" 19 Examined and Approved by_ <br />—�-� City Engineer <br />--Supt. of Streets an <br />d. SewersBy�V/ //y ��•'+— <br />By —' _ --- --Inspector G 5 Q 4 9 <br />