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TH�'� CITY +OF EVEF -�iT <br />Date—Ler��r � % j '.�� <br />Skelch of Proposed Sewer Conneclion fo: Building Situaled on Lot____l_,� —(� _ Block /:•' <br />Division or Addition �� •. , � `� �,' ;'.,) � - � q • — <br />No.—_,�_ '' i <• -1 '� � Owaed by � 3 ^ _J � _ <br />� /i/1__l:�( J— <br />ApplicaGon and Connecfion by f' � 1 �� -!`�• f I J�un� �.� aJ c' s __I.icensee <br />, . i <br />Rem�ka:—,; E: - f r. �- �, r' ;, t i,+— -- -- — <br />Dopth ot Se�rar at ConnecLLoa I �—_ I � <br />� i � �9✓ <br />� I <br />'J � <br />. ` <br />✓ <br />� �` <br />( (� il_� <br />���,= �. <br />� <br />� -_. '"! 1;! ;.;''„ <br />� � <br />� <br />Conneclion made lhe_ _'.—day of—__L�1. � �' _19'—. Examined and Approved by_ '� a �^'''' <br />� City Englneer <br />. �upt. 01 �,.;treole and Sowore BY— __ __._, f. - ' � ' _ <br />. � <br />� � � <br />Hy—_. J-! J_�,5.__ ��__ Inepectoi _— <br />.y[�Qe i: eKa a.0 Rw � v�au� vo. �uu ,1 J U J O <br />