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TH� C�TY �F �VEk.ETT <br />��etch of Proposed Sewer Connection inr Buiiding Sicuated on L�,t __ � L=__ [3��ck__`?''_ __ <br />` - <br />Division or Addition �� �-� �_�.� � �t �, -G / %: ,"., - <br />� <br />�..-�t2�—_�%_.` / * — -- — -- - - - ' / <br />No._ �----� . �ir.A �.t � .rti-C_O�vned bY 'fr'� �t ����1_ i_,I.�r.,/V �" f..,, <br />'�, i�' ----- <br />Application and Co!tnection by �.; 1; .-� <br />, - — Licensee <br />Rentarks: <br />Depth of Sewer ai Connection � <br />� � / `/ <br />- -----;= — - _ <br />� <br />Connectian made the_�'__' dayof _ _ _ _ <br />( - . i . _ , <br />I I <br />. , , <br />,. , , -2.t_�:^_L',. <br />—_—_ _, . �_l-r:_.L �--: � <br />L� <br />�� <br />T � <br />� <br />� 08452 � I <br />- _ - - . I91 _ Examined and Approved by ___ <br />.�_ _ ,. __ .::___ _ ___ �_._' �__' '_ ___._ __._.. Supt. ot Sircels anJ Sewers <br />liy _ __.___— .`. � ___ _ . _ . ._____ _ _ _____ _Inspcclor <br />,.».,..���,,..��... <br />�y� <br />Cily lai�;inccr. <br />