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'�'� E CI`�'�' �� EVE�E`�'T <br /> SlZelch of Proposed Sener Conneclion for Building Situaled on Lot __ _ '' ' _ _ g[o�%_ _;�___ <br /> ,y. '� <br /> Druision or Addrlion <br /> — t;'—'T;, <br /> v ..., i • .��.(, <br /> No. %�;' �: �r-,- �•-r_ �-r�.— On�ned by `' - �,1. ' t: <br /> : ,/Ipplicalion and Connecf�on by _ �T��IL� � .'_ . '_'__'___ ' y��_ � __ Licensee <br /> Remarhs ___ _= _ __ <br /> Deplh ef Semer a! Conneclion I i � I <br /> �'" /, -- i � ; „� ,�. I � <br /> _ I ------------ .---- --- i <br /> _ � <br /> �, ��� . <br /> r;1 � i <br /> I ;,;;.;' �' ;r. i <br /> --?i---��� ` — l"+ <br /> .�. <br /> ,� <br /> �\ <br /> '4 i -- <br /> _ '�-- -- � � <br /> �� I I <br /> "orurcrliom m�rle lhe _____day of___._—_____)9/ Examined and Approocd by ��. <br /> - �-. <br /> 04496 <br /> --- .- _-_—_-____ Su,ol. of Slrce(s f'r Seu�ers. Cily (;ngineer <br /> 1 d�i Inspedor ' � ; .,. B� ' �.;.�, ..: <br /> � <br />