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� -� { f`� T�-➢� `..ITY O� EV�RE'_ T <br />� � I L' <br />/ : � Date_ � ' ! � �% /%� �: i <br />etc�, of Propose3 Sewer Conneclion for Bidlding Siluated on Lot__ L= _/ � //� ��' ' �-3 <br />�"----- Block_ � , — <br />Division •�r Addi4on �` C°✓�'/ � -�/� � �x � J -'-- � <br />� ` ' <br />No.%/ d . � 1: � .Su�= � <br />--.Owned bY- � ��� .�^ � r <br />L � � ----- <br />Application and Connr,ction by_ L•_F y��� � o r�( <br />Dopth of Sev�er at ConnacUoa <br />( . <br />� <br />r <br />-----_l.icensee <br />� � �'�, �, �, + ��` �7 � ° � <br />' J <br />I � <br />� <br />d � <br />, �. <br />Connection made the---� ('_da of___ %✓� � � /. , ,( i / � <br />Y -- -------_.19_, Examined ¢nd A roved b '/ r/. ( � � � <br />P Y-.--._---�_ C/. r— <br />. i -- ------_Supt, ot Streele and Sewere g__-� /� City Eaginecr <br />B `/ILSf�.: � Y L�Lt1�.�� 1�.�/('". :s�^a <br />y ----_I -: a.i � /— <br />— �r- ..�_Inepectoc -- <br />�'..�.r'�' �nxc . xuas co . ;l�---�_______ <br />�'�4U9� <br />