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1 I <br />'�'�� CI'�'�' ��' E�I�ERETT <br />Sk� tc;�� o( I'ro��oeed Sewcr Connection for E3uildir,g Sit•.!atcd on Lot._ <br />Dicision or Additiai --__---- ---- <br />No. _ _ - -- - -- --------__ _—Uwned by <br />:\pplit�lion and conneclion by— -- -- <br />Remarks - - - - ------ -- <br />� — r�io:�--------- <br />�-_-, __. _ ! . - - <br />, � '---..._ <br />Depth of Sewcr at Connection � �_ f I I <br />'_ � <br />! <br />I � <br />i ! � <br />��/ � I I .I I <br />� y d f�.�.C� 190�• Ex�mined and app:oved by—__----_:':._-----._--- <br />� <br />+,.nnn���:Uuu mudc t6c — ay o � , -- -- <br />p Ciq� Enginecr <br />��V.� ?�.('���, �'` '�- Supt. of Streets and Sewers. ���� �Y �" � �— �_ <br />- , <br />p � . _ <br />IiY-;x.l�°� E-�"d-_�= =- ` --�nspector. ----- '� ✓j� '_', '�-� f <br />� . <br />� <br />