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TH.7 CITY OF EVE% ETT <br />Datea9l7li•: <br />Ske" ! of Proposed Sewer Connection for Building Situated on Lot i� 3i 4, \s . <br />Block 7der <br />Division or Addition. A 1 _ <br />No. ai >• Q % U 3 /V'a �i Owned by <br />Application and Connection by 0I . fA/ 0 / N/ 0 J*'f \-iceuse <br />Remarks: <br />Depth of Sewer at connection <br />I <br />v <br />.o <br />M <br />Connection made the/__/�_day of 19 -)tt. Examined and Approved by �' t p i r/', <br />a City Engineer <br />Supt. of Streets and Sewers Br �� A S r'l rU 0eil 0P F.'� <br />Y u eoox• respecter <br />