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% <br />THE L iTY OF E�/ERE"► i' <br />Date����;_::� (, ( � L/ <br />Sketch of Proposed Sewer Connection tor Huilding Situated on Lot_ .,r :�_ - K'_`_�_ __ __ <br />Division or Addifio� > i_ µ r-- �; �' _ _i Y� �Er�- - —Block _ � � �% _ _ <br />�V� �•��u5 c�nd�c 1'n�G <br />No.-.-1�C�1-�1 ?,i,� -� ��"f�---- ----- - -Owned bY-� rr=sc' X(�`�-�rE�.�T-G�w�s -"� - <br />Application and Connection by- � �i -_�,���'.��__ai.������,,l:� ���- - - -- -- -- <br />Rem�ka:-��G-�.I+� 11_-- _�_ _r __ _�hl'_!-1 ! ;: _. �:'_: i_��i_T'; . _ _ Rec. #�� � - -- <br />Deplh of S�we� at Cowettlon � � I � <br />30f�F — <br />c�" v s P.� C. ;a��e. /�..:e� �. <br />l9'G".�+..i6. a� 7� P�. -� a�' � <br />�I_ �y.�.l� �Llti— I /�j. ��IYU% }�-�' Gt� <br />V <br />3��G - <br />�' � �J �„L}}'-G, l�1J-t<-.'r I"'.locl. �7-t'9`-6-�— <br />� V� <br />z�'d° '��,.ta, � S�� � �t3``" <br />�c�-� �� QCC:.� ��. 3' %�-e�,.;� �k.� �. <br />' � � <br />�Connection made the. a) -_ _day oE _ ��`�'"`- _ 19 � � _. Ezamined and Approved by_ �_ �__�aLul:,�- _ _ <br />Cify Engineer <br />�J — <br />. _ _ _ _ __ Supt. ol Stmcls and Sewen BY- <<(•l-1-- � ��-����'-�—°�-- — <br />By _ _ _ _ _ . Inepoclor . _ _. — _ '. .—_ .— —. ._—.--__— _. _ <br />.�-�6.�,�. 2 7 3 2 7 <br />