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0 <br />TH E C..ITY <br />OF' EVEhE". T <br />Da�e �i ��� <br />�/ <br />Sketch of Proposed Sewer Connection Sor Build'uig Situate3 on Lot__.__ i:_r�________ Block—___ <br />Division or Addition__ L��! 7� F'�,�. 1%�-=z�• �-� •,� ,,-�� <br />No.— _ �� r ' ,r, , �� •�-Li ,t.�� _ —Owned by__-��,E�JK����� <br />l.�N-------- <br />Ap?lication and Connection bv—_� ._� rL/C�f-; ..�1 r' /c' <br />Dopth of Sovio� at ComecLLoa <br />/_f ' � (0' , < <br />5�-�-��-- �.�.. � <br />� ` ��.�� <br />� <br />� <br />(��w-�4`'`E1f <br />eee_ �n-�z. <br />z. <br />f�. �, C_au.c.�+.,'G. fi-ewc.v <br />6'�=�. �, .�� a�� <br />/�-L 1...�. ,Q,P_ur.cl. 1-tUM, _t.�a_- <br />�-ri.�.txe� � � �1Pn.� <br />�-b /�'1�4tw„ +j-Q.cyL , — <br />D <br />- — ------------___.Licensee <br />:i: ;:/ l��c-'�� _ � ''_,GG r5 <br />, _-- <br />� � <br />, ��� � ��'. � <br />Connection made the_ � � � \���Z <br />�� _ --=day of-- -L. _ __ . _ <br />By _- -. <br />�. Examined and Approved <br />.__-Sup1. ot Slwete and Sewcrn <br />.... Inepocio: 2 y �j 12 • <br />