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THE �lTlr' C�F EO/ERETT ; �;< - - <br />Dater':-- `--- --- <br />Sketch o[ Proposcd Sewer Coi�nection for 13uilding Situated on LoL �'� -' Blozk 7� <br />. i .. /,;. ._ . . __. <br />Division or Addition � _-f / : <br />No. _ _ . _ � � i .'. '.-- i'{,�/ - % l �I � I i �. ' .��- �. _-- — <br />, �/� <br />_ oW��a bY � � � 1.-,:;_i <br />Applicetion and Connecti�n by -� - - — � ! �',_ - --- -- <br />— — _ — Licensee <br />Remivks : _ _ - _ _ _ _ <br />�A:ptl� o( Ser•cr nt Cunnectiun <br />� -- ------------- � l�� <br />—.I—'____— /—/-- � _—_.—_ . _. ._.- —_._—.— I— .. <br />x <br />I . � OJi�� � ! <br />_ <br />Connection mude the . _ . day of - — ----- �— -- - �y� / . Cxamiued and ApPruved by � � <br />fiY- . � ``� 1 /_-.�� .._. .CiIY EnRinrer <br />_. _ __ � r�-�L � - y0jlt. O( °[lCClS Ltll� $CN'l'I5. t . '_( �l , <br />. T ,r .1 / 1 � . _. T" . . <br />, � / <br />By _ _� _. ' ! "__ _'__ ' Insprclnc __. . _ ____ <br />�' _-__ _.'.— _ _ _ --. <br />