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� '' l , 1.�;� __ ✓ <br />� .Jt r��?/�/T-HE C�TY OF E�PERETT ���,,��,,, <br />Date— <br />a , ���zvc' - � -`�� <br />Sketch oI �roposed Sewer Connettion ! r Auilding Situated on Lot-� � _t,�. _ .F-��, � -"�- . -- - <br />Division or Addilion �!L�/C� -��' —,,. _ , f;�- .---r --Hlock-_�_.�_� _ <br />�-> !` �� � <br />' _" <br />No.-- --� 7 �.G--f=-•'�-'K-•=-- -- —Ownedby_ �'�_..� � - �l1"�''-:_�'rj <br />r-� ' . .` � - - <br />Application and Connecfion by� ___C„��`.�-%--- -:_,-��--, ` ��. "_ --- -- - - - <br />� � <br />' - • - � � --� <br />�� „, �_ f . , Rec. #� !J <br />Rem�ke:_ - - - - _ ---- -'` =---- - � - --' � S � - - - �--�— — <br />Dop16 0l Saero� a1 Cortnectbn — I I � � <br />J � <br />� <br />i .. .. .�. y /ti_\.._� . <br />� 1 c� <br />�i' •.:l-,Li o.e.,.:-<-�. e�.e_L+�•.-i'l�<I <br />{ <br />. �Z ._..C[-.c.d�..�C' .'�'1.,� . <br />.. � v., 7_ ./.. • f� � <br />, . .. . . � . � _ .. . . �. ._ <br />� .. /. (JJ <br />Connection Permit Fee <br />C:emecti�m i er, <br />� <br />$ � <br />� 1 <br />`„ - 31802 <br />i or,! r„�, �w. <br />Connection made liio. : � ��� . .day of . � � ' %� - _ .19 � _ �.�. Examined and Approved by_ <br />. __. _ _. _ . _ -. Supl, al Strecls and Sewero Oy. _ .1 `_. _--- <br />gy. L��.�(�i _ � _ ' -. Inepoclo� � .- ._—���__--_ <br />� <br />�—1 — <br />City Enqinccr <br />