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T�i E �I`�'Y OF ��IERETT <br /> Slzelc{� of Proposed Semer Connection for L3�ilding Silualed on Lot _ _ Bloclz � — <br /> Division or Additioa " - '�" <br /> � . <br /> No. --^-1��� _` -- _ On�ned 6y ; - - <br /> ,f1AAlicalion and Conneclron by .__-- _.-__--__ --_- __ , _. — � -- Licensee <br /> R emarks <br /> Depth of Sewer al Conneciron I I� ��� � <br /> - -- -=- � <br /> i / � , �/ ,;�� <br /> e:: I -- -- — — ----; <br /> E� :�`���� — � _ � � ) <br /> '! -'S 1. � �� <br /> ������ <br /> � . � �'� : <br /> ; <br /> ` � � __ I <br /> , . f ; � ; �.- <br /> ; � <br /> (�., ; � <br /> � <br /> (% . ; � <br /> ; . � <br /> �,�, <br /> � � , ., <br /> , , � � � <br /> , <br /> � � , - <br /> ; ------ i <br /> � � � <br /> � <br /> Connec ion,made !he -,�day of��____19/� Esamined and�1pp�oued Ly _;_ <br /> � -���� �'U�� —Su t. o Stree(s & Semers. � � <br /> �� A }� Cif,y Vngincer <br /> r'' ,; ;��'; �' � �/,,�>_ 03779 <br /> [j�N i __ _ _; i /nspeclnr (3V- - - — . _ <br />