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TH�. C[TY OF EVEF��Y�"T <br /> � Date � 'I � <� : /'�� <br /> Skctch of Proposed Sewer Connection for Building Si[uated on Lot-L�_��_� `'��_ glock_ �' !�'- <br /> i , <br /> ; Division or Addition—_ ' ' �. yX �• %'' � � y !, ���l�i — <br /> No. -� �>� �'`- !:'l;;r/J/��Y <br /> • � —_ Owned by �, /- �� _,�,�„ /� <br /> Applicaticn and Conncction by _T LC� �f/�ryi <br /> � <br /> Licenscc <br /> Remarks: <br /> �'-i • I � <br /> Dcp�h of Sewer nt Conncecion ��,� ' <br /> � N p ,. <br /> , , <br /> ; - E{� ,:'; �, , ': � fr`F-,:- � �;,. <br /> � _. I y i <br /> /G7_" � i.. �-- <br /> '-�-`;��j , �,' 7' -,/ s. � 3` � <br /> i <br /> i i <br /> � �k % i�, r';1.-- � `` . � i <br /> '�i _ . <br /> �� � ,, y � ; ' '�, <br /> `�� ���1 ,�� <br /> : �-���/ =� <br /> : � i <br /> ,- �, � ' , , <br /> i � '� <br /> .-�� ` �, , <br /> . a <br /> � . �. <br /> 1 11 <br /> � ' ' �l <br /> ,- t� <br /> i- �% �" � � � � � �� <br /> , <br /> � �i � - .. �— •�,-,—� � <br /> � . � <br /> � Conneccion made the_ 1� da of__���'' ' �-- / �� <br /> � — Y 19___. Examined and A roved b t �'_ / !� �: i <br /> i . PP Y�--�-- -- �-- <br /> : — �— _Supe.o(Strects and Sewers I ' �,��� /L j ��o E�s����+ I <br /> ' I3y ._I � s i `(_____ <br /> / ��"i� . f � —__ _ <br /> ; BY-----f'-F—�i-�-`— '- _.— Inspecror _ ..—.- . ._ __/ _._ <br /> ! <br /> � �x eooe�e.:vae ew m�e� <br /> 1��}�U <br />