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0 <br />1 iJt�__ ._.r.. � � <br />Sketch of Proposed Sewer Connec6:on for Bttilding Situated on Lot_..�_________________________ Bloelc.__:�'�._____._________-_.._____ <br />Division or Addition---=-,- �-_-�,.-•="-,- -. � � �� - • ' <br />------------- � ---- ---- - - - -'� `-` �----------------- -----. _ ..._---- ---- - ----- - - - -- ---- <br />/ _ �°' - � � '. (, <br />No. --- ---- , J � . .. � � -- -- ---- O�tned by -- --- `� ------='�-� i ,, -=,-'- _ . s <br />' � r <br />- �--- - ---- <br />Applicnt�on and connection by ______ " <br />� , ,• <br />_ - - - - ;--_. _------�-`�-- - -- - -- --------- - Licensee <br />R.em;u�ks -------------- <br />-- - ------ - ---- ---------------------------- ----� <br />Depth of Sewer at Connection � � I I` I <br />----- - �— -- –.. V. . ( �� �' I ;1 I � . �_ <br />t <br />C <br />� <br />� �� � I , � . ,'– � � <br />: . �.: . ., . . <br />Connection made tl�e_��__day af___ _ _��=_ 191� Fxamineda+.�dapprovedU ''� ` <br />Y -- <br />/fjJ O, 1 �'" �/ ,r City Engineer <br />/l�f� �,,v� Supt. of Streets axul Sewers � . By F '� ' - � - ` -� - j-- --_ -- <br />- - � - --��'"'�`-'�-- --; - <br />�, / / ,(�i <br />By�----���C�L+<•-__%\�-�l:%e.1--- ;nspector ' <br />.� -- ----------------__-----�-----...._ <br />