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'T�E �I'TY �F' �V���'�'�t' <br /> Skctch of Proposed Sewer Connection [or Ruilding Si�uated on Lot___- ---------- Block -___..--- - --- <br /> Division or Addition_— � — - . — <br /> . 1�0.'—. .'—L___ . ' •: .. .. .y ___ C�\VC:'.� by .��_--' . __ ___—_ __.._.__ �—'•_.__ __. _ . .__ ._..___ <br /> Application and connection by— - • ' ' —Licensee <br /> Remarks_— — <br /> Depth of Sewer at Connection + � -�'— ! I_r <br /> ----' ' �--- _._ . . _ <br /> � � <br /> i ! <br /> -----------'— � <br /> -',I-- -- ------ - � <br /> � i <br /> � <br /> . __ i <br /> I _ .___ <br /> _ � _ �. <br /> -, ____ ______ _-� , ,- <br /> , <br /> J � <br /> � _____-_— .� <br /> � -- ---- —�- <br /> - -- � <br /> � � — � � � <br /> � <br /> Connection made the�day of �" 190;�' Examined and approved by Gity�Engineer <br /> .-. ; �' <br /> � �.: � <br /> � �'_�� S - � � Supt. of Streets and S_wers. <br /> , t: � �,• P o�s15 BY- <br /> � <br /> --- <br /> - - - — - <br /> � ,' "'---Inspector. �-- -- ------- <br /> Bl--- — ,�---- <br />