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tl <br />TH� CI'T'� OF �tiT�RE"1�"T <br />Sketch of Proposed Sewer Connection (or Suilding Sihiated nn Lnt_ _� Ic- - Gk:ck 1_/ __ ___ <br />� �/ ' . � r� - - <br />Division or Addition-- ---- �' ., ' � _.L -- -.___- -- ----- -- -- <br />�r, %' i.t�., <br />Na------ - ----- . -----O�vned by--'-�ll-�—�=-; y �--- - -- <br />:�. <br />:; ; : ;.: <br />Applicatiou and Connection bY----- ' --+�- '- �. '----- ----_-------Licensee <br />�l <br />Rr,marks:__ _ ',! _____ _ ___ <br />Depth of Sewer at Connection I � I � <br />,� <br />�J <br />�� -- � � --- - _ � i <br />.. , <br />, .. . . . <br />� ._ . <br />-�--- -- - =-.- ,; r � � _ ! <br />I i _ _----- I <br />�•� <br />,-f <br />� <br />f� <br />-i --- -- �--hf-✓ - _� .-I__ <br />� - <br />� 4�. <br />t <br />� ��[- � `: � <br />� t. <br />\ � ; <br />.+4, - I--- --- --- , � �. t � ---- - - i <br />> `1 I I <br />. � � � � <br />Connection ntade the __ . -dayof _ _- -_--- -- - _ _191 __ L'xamined and Approvccl by------ _---- -------- <br />-- City t:nginccr. <br />0739`t <br />. . . . _ .. -- - - ..- - . . . _ _ Supi. of Simets and Sewcrs t 3p . --. -_ —_ __. �._..� -- --- <br />f3}� __ ._� .. ._ _ . . _ _ . Inspcciur . . <br />,.,w� ,..:r�.���.,��. <br />