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`' ✓ <br /> THE .�ITY OF EVER� i T . <br /> � �:L!! .�1 i,r'S� / <br /> Date� —_ <br /> � Sketch of Proposed Sewer Connection '•�r Building Situated on Lot_.___ _ f�". _ __—_-.—. Block_____ /�� _— <br /> i :i%/r �I -�hr <br /> �"�: /`�. /.j ��J✓ <br /> � Division or Additio�---L='--t� •' ----- -- — — <br /> c/ � i — . � � //s <br /> No.—�' / J� `_—/: c' t ---i1/n. i — --Owned bp �--�---_�.�L-/ .1'-- -- <br /> � l <br /> Application and ConnecGon by� �' r _____ _ Licensee <br /> Rem�ke:---S'<— r� �^'.� ._�� ,4'P __��__..��`>_j r' �_------ - -- -- <br /> Dopth of Savioc al Connodlon —_� � /�`'//'/, ✓ ,C' �� J� y- I � <br /> 7 <br /> . i.:�. �I!,' . :: / � <br /> , �,� Le!itfNL_C.Ct-s-w Co � ( p,�'�.a,LtcA-�..— — <br /> --T <br /> � a,t 71►�-�. ��� k+.�..�. Y- ��L� � ! <br /> �: <br /> �-�-ot�- ,a��.,�. �" J�. �t. -,, � `� + <br /> t-uu.cn�� r�uu�-,. �1-�fu., f;, � \ --- <br /> /� �� v � a. y���y�/ � <br /> ' ��1 ♦/ Il �-[.1.lcit�l. I 'I IOLI�� � <br /> � �r� �t�� �1� I <br /> �s1.xA...� y ��,.�c:e._� c.�-�—� - — � .� <br /> � � � <br /> ' � � I:�.�ev xyc�.,_�,a.�.�- .�.�:e�. <br /> : Aeu.`2.� t+s�c_f.. /U-�� to-°' dL'.°�. <br /> :.L�u�.C., rca.�QG�, dr ,u�a�.. <br /> � n�.t�e.a"� �. �,�"'S',,`R`-�-- I <br /> �7n='_ _ f' � — � <br /> .�_ � I- <br /> � ; / <br /> Connection made the. �v �_day oE __��-��-�Lu_!r___ __19�� . Examined and Approved by_ __1i i�� �✓ /" -- <br /> - —�(' �- -- -----Q _� . � City Engineer <br /> �1�1 <br /> 7 ���� /�,! _ Sup1. ol Slmeta and Sowere ➢y—.//'�-^'��`x' ""' � �'~' <br /> (�V}" ___Inepocmr 19 3 5 6 � /� � f <br /> gy_ .._�`��� -. .. _ _ ._—__— � . <br />