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TF-(E C.ITY OF EVERE'► T <br />� <br />Date—_� � �lG.' <br />Sxetch of Proposed Sewer Connection�,Eor Building Situated on Lot __ _s—_-__-_ —. Block__ _._� =5 <br />Civision or Addilio� _✓il'�'✓�,ti_ �7'vt_��...�, -- <br />------ --- <br />No.—_ S�'.� u•»,-IrAILd" — --Owned by—��a-= 'rt•arw .�?=-1ct}'- �---------- <br />'► _�. !a� , i� . � <br />Application and Connec6on by—���L_$`t'L��''�'"�'-____.—___._--__—_____. ____.- __ Licensee <br />Rem�ka:�l�� y _�'''� �/�''('```'' <br />Dvplh of Sewe� at ConnocLLon � I � _� � <br />J <br />��' to G" c f� c�.�LLr ��y <br />. ,- <br />���.� '1/z ,l,�e�w P-«��« <br />�-/-„ 1�. rJ , C.o,.�v.t,r�. .sr-c ����-�. <br />�i.`�'_'_" % �o��.r-a d-�..o_��., <br />_.� <br />� i �i ! '� <br />� � � '. <br />r� <br />;, — � I — <br />� e� �r...rti:7�LC � � <br />� ,� � �-- <br />Connection made the. I � �-�'_day oE. _ 7 t� � u �- . _ ._._ _19_ � `� . Examined and Approved by_ , /_i-�� � ' ^ - -- <br />��% 4/C �) � Cify Engincea <br />/`�'-�-�"�- ti /`�-"'� . _ .— Supl. o! Slreeta and Sowexe By— � - � �'�"� � "r'•"�' <br />_ .____ _ �_ ._ ____.__ .__ �-`_ —�.- _- <br />'f �� �'' 316 <br />gy _ _ , . y_ . . _ . . . Inepeclor F. ��- <br />