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� j O�'�` THE �ITY OF EVER� y T � <br />, , , __� ; .. <br />- ' - ' Date ' ✓'�'✓' G' �J�',..�.� <br />�'r r, �fE /— 3 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot____ ___� --_ Block_ ���,�_',{�__ <br />; ! ;, <br />Division or Addi6ott—S�/ `}'��'� � � ,' � �� � � � � � - - <br />r � ' �"' <br />No.-- '�--��i% "";�, : � -�' / —Ow•ned by ii ys-'! �i /rd •� '�_ -- ----- <br />Application and Connecfion by � t'• 'Yo<�w; � <br />i .). LyG.r �ff <br />Rem�ks:—L5��1 � '/— i , �i. ---- <br />Dopth of Sev�er al Connoclton <br />V� J <br />Ii">(, / i A/ / �� �� U(I <br />__Licensee <br />� <br />��-1 I (� <br />,n , <br />Connection made the—�—day oL__ '=` "______. _19 � . Examined and Approved by •� ��' � �� �v�� `� _ <br />... 1 y City E•glneer <br />�/.H � � : I.! �n... <br />___ _— _—____Supt. o! Slreula and Soware By—_— f_.i�—f�� <br />� i , � ✓ <br />/ _ ' � <br />_ _[ � � `� � ' � _ Inepoctor ' ~�. <br />Hy -- —�r— <br />.�.. ...�....��,�o. . ' 1�1G"l <br />