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TH� c.rT� oF EVE�r�r. T <br />�I i P v�nsed Sewer C��nnection for Building Situated on Lot -• --- -_-- f3lock �--- <br />Skc�� � �� � 1 <br />.�—�/ ,,1. � <br />Division or Addi�ion .- --- t �— ---- — <br />/ , �; , ' � i ,� . <br />No •v%J— _ i � , --.— O�vnedb� . -����t;,_-c''�. — _- - _ <br />APPt'C�nd Connecfionby___���sa--_^ ..t _.�-� ----- y -- — —Licensec <br />[icmarks:— ---- — -- -- -- -- - - -- <br />Depth of Sewer at Cainection I I � <br />� _ - � <br />__._ . I - . . i . <br />;:_.,.... ,,,. ; , <br />- — -- -- � - � - -- - <br />--I -- -- -._ .. . I <br />Connection made the <br />_ ,i <br />�Y� r�� � <br />4,, <br />- –:��---- � - – -- <br />—�-- <br />n <br />_._ , <br />I <br />—� -----�- -- - - �-----'-- - — <br />� - . . —�-- � � <br />� � � � � <br />/ <br />. �_day of f� ,—:Cy - 191� Baantined and Approved by��'l1� �_'�_.--=?-� - <br />� �` 07513 , ./�� c��Y �„s���.•�,�. <br />__ _ - _ . _ --Supt. of Slreets and Sewers R>' �-il� � � -- — -- '--- - <br />_. - t�`7' -- <br />'�..��=z,:--�.�-�:-:, . . Iuspcctor � <br />