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TF—lE Gei Y OF EVERE? �' <br />v V <br />Date / %_i � " � <br />� <br />Sketch of Proposed Sewer Connection for Building Situated on Lol .___ __�___ ___ ___ _ Block_. _-l� �'� � _ <br />( � — — <br />Division or AddiGo� _ ' 1 t•_-_/; :',/ ,� j .�-' i: E <br />No.__ % % _L_ �'-_! � •� �� : %� � —Ownedby__1 /,' .s1_c- 5�. S? i_J ��� �7 �---- <br />Applica4on and Connection by �-' �' n % �_ —_____ _— _______ _l.icensee <br />�;��� � .. //a U� <br />Ramarka:--- / � _ ,� r; r — --- -_ — _ --- ------ — <br />Deplh o1 Suwor at Connacllon <br />� �t I C 1C � "f' <br />Connectio`nJ made the_ �. J <br />_ .�J�^ '� —! '� �'"�r_— _.__.. .. _ VSupt. ol Stwets and Sowcn <br />HY- .._ . �1�y�aG4-cti'/_.... _ _.__. _ Inepctlo[ LQG�C)� <br />—, Cily Engincer <br />g�, ?':.. i. 1) 1, A-!' j; <br />