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T{--IE �ITY OF �V��ETT �' � � ,,a,� -� <br /> � _ Date ��_>_-- � <br /> Sketch oC Proposed Sewer Conuection for 1luilding Simated oii Lot � �✓� Block__� <br /> _� � ----- <br /> llivision or Addi[ion ___ .��1' ' <br /> — ,z - - — — ---_ _ <br /> No. __ —�/,"i `7/ t�{-rj � ( fY'�.,t , Owned by— � �' �'L,�,- .�_� ,� ;t • / <br /> �-- }-- <br /> Application and Connection by_{�� � f •'- , <br /> ( i , , . � -- —'E'--- ,� —Licensee <br /> Remarks : _ ,�f1?_���'� f--! � ,1 , F ,. . <br /> ' ,---- ' : ; <br /> ; � ; � � — — ---- ------ -- <br /> Deplh of Sewer n[Connection � f � <br /> I <br /> '— __.- .� � .. s/- r' , ! —�'— <br /> � t. � _ �- � <br /> r`�� � ` <br /> ; vI <br /> 7� <br /> � <br /> � <br /> �. .�� � � <br /> � � i <br /> . �� \ <br /> . �. <br /> �f. <br /> I _ <br /> � � �J ' , '____��_�---- <br /> � _ , _._ __ _--- --I- <br /> � . 10i8;� ,i� � <br /> � <br /> Connection made il�e��!� _day of � __192_. Exnmined nnd Apptoved by `' ' <br /> � �.,.. w. <br /> ' ` cnv eoai�,�« _ _ <br /> - ___ Supt, ot £trcets and Sewcrs. py._________ <br /> .... - <br /> I3Y—__._ _..— ' _. Ins '-..-�+'.s!.r'—��"l,��t.. —___. <br /> ._..i__.____ __'—_______. _ Pector. _ 1..� G..' �'�_ . <br /> fi. — <br /> � <br />