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<br /> ' THE �1TY OF EVERE" T � / "�
<br /> . r' Date� t�P_ �/ :; ��l� ,
<br /> Sketch of Proposed Sewe: Connection for Buildiryg Situat� on Lot____ _ --��__--. Block 7�
<br /> Division or Addition �--� � � �'. —
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<br /> No._ -�.--- Owned by- ---� . -�- ----
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<br /> i�N•G`yt'/!� '�->�'��l,�� % � . Licensee
<br /> Application and Connection by "'�f ___ , s—`=�-`—�r���-�- ------
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<br /> ��r^ v'.V! ...i` t-='c%:A`_a� —'._„�,�'..'t�'e✓\
<br /> Remarks:.--------- ------ : �—.�-- r'-j ��--
<br /> Depth o! Sewoc al Conneclton I I I (
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<br /> Connection made the_�Li ' day of__- .-- _ - _- _ _-_.19—. Examined and Appzoved by__ ��--- -
<br /> ` I S r. + C'ty Enginee�
<br /> , \J , • : ° � `'l.r �,.� 7 .___ _.—_Supl. af Slro�te and Sewore gy_.. e+'f'•"�, J�` !l .�-�
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<br /> By—_l. iPi�,�-_�_i. --Inepoclor -.—__—.. —
<br /> ,_ �..�, ,,.a�.,�o 1 °'16?
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