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THE CI7 ,' OF EV�RE"i"'T y',J <br />Da}O ��'� CL�� •.' � �Y '�~/ <br />Skelch of Proposed Sewer Connecfion ior Bui!ding Situaled on Lot___ —_.:�._—�f __ Block_ �"' � :-% <br />Diviaion or Additio� ---.�---= ' �� • <br />No.— • '- : i .: '/ .- . , •s' Owned by /�!; ��� i f'.:.:�— -- <br />' .7 <br />Application and Coanecfion by r'�r%•: ��t �, r j�/"v; %�r�- f S—'��------1.icensee <br />J} j ....- ' _._..._. ��/' , � ., y'/ ...i <br />Rem�ke:_— =--- ��-•---� -- ----- -- <br />, 1 > -,— — — <br />Deplh of Setna� n1 wnnetUon I � � � <br />—_ __ __— � ; ' � . � <br />� <br />�'� n�i..�.,R�. Q�t <br />�S - ;1-14c.•uQ- `-, <br />i �r� <br />1 <br />s�lf �--i <br />, <br />,. ._ ;.-i - - <br />Y- . <br />' -- _� _— '' �'I I <br />. <br />-- I � <br />,; � , . � (�� / ; f <br />� L��" Z__da- of '" �'�t'-�� 19 �� Examined and A uoved b --��� --L'-��.'�—�-'' <br />C�onn�n etiee made e_ _� I --. _ . I-- Pl : Y <br />— — .i� �tu.�l�-' � / "� C�y En9inecr <br />`_ "^'�.�.-__ _.Supl. ot Slreele and Se�vere Hy_ - . f__;�:.it�r F�=F•��'� <br />— , <br />B �:��c.t _ — .. _ _ _ lnepecior - ' =_— <br />p____ __-__ �_ — _ - �. <br />IJ 1'�.3 <br />