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T�I� �IiY �II� L�'���'�.,�, <br />Sh � nf Proposed Sewer Connectior. fnr Bnilding Situated on I,ot_________. __. r___ _____ ___ Btock___i_____________ <br />--- <br />Di .on or Addition------�-�-=---�'_r:-=`-_-=- ,_ . , <br />----r-' �---`�'------------------- - <br />----------------- ---- <br />xo. ___=�_-�--� "-�_-------,_ `—E—�-� , `i . I <br />-------c---------------------Otvnec'. by ----��--'--j�i�.,��-------------------- - <br />Application and Connection Uy------ `-`�-5--�. _�-�y�,J.-.- ' _---J---------------------C� - <br />------------- Licensee <br />Remarks ----------------------------- <br />Depth of Server at Connection I <br />-------------- ------ <br />_------ -- -------------- <br />� �J I -- <br />I— �� _ta_,_,l ��.. , I <br />I-- <br />_ � <br />1�-��.. _, _ _., � - .- <br />� ,� � � �. . <br />Connection made the .'__ � day of i "� <br />� ��_ `. ----in7_,_ Esemined nnd Anproved b � O , � - <br />9-- �1� -%'� - 1_ ' <br />�i ��� ��: , �F`- - - �- <br />- = ----�- �'=--: _Supt. of Streets and Sewers Q�j�,rj�� �:tyEnginccr. <br />-- B -- <br />r <br />3"__„:_.R_ ; ------------� -----Inspector. $ �1 t� l <br />T_—-"'�.-cl•''- -- —- — _ <br />