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'I'�I� ��'I'Y �"JF IEVI�I�ET'�" <br /> Sketch of Prcposed Sewer Cor.nection for Building Siwa�ed on Lot___ ___ _.__ Bluck_ "' = __ <br /> Division or Addition_ _____ _ <br /> No.—. .'_,: ' —=---- Owned hy—_ - - --- __:s ___ <br /> Application and connection by / __�__ . _ _ . _ __Licensee <br /> Remarks_ _ <br /> Depth of Sewcr at Connection I ! --- I � <br /> -1 � J <br /> , , <br /> _ � _ -- - -_ _-- - - - - - ...-- - - <br /> i <br /> � ' � <br /> , I <br /> _ ,.� ! � <br /> � , i - <br /> _; ,. - ;- -- _- - ------ ._,,F;. ---i <br /> � <br /> - � - ----------- - --- �� - -�- <br /> � - , <br /> � � � ---- I � <br /> Connection made lhe�"� _day of_::—. • _190 '' Examined and approved by _ _ <br /> �� City Engineer <br /> __�_______.� �` �'�:-�:^_�_____Supt. o� Strects and Sewerr. Q� � (j'7 By____ <br /> v <br /> �i'--_' .. ` - _ .,... _ — _ Im,pector. <br />� -- <br />