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� <br /> � THE GITY O��' EVEREI'T V` �� <br /> � Sketch of Propoaed 3ewer Connect;on for Building 3ituated on Lot______�_�..__________________ Block_____G �__;,�'_________.._____ <br /> • ;._. <br /> � Diviaion or Addition--------r-=�=----==-----"-'--------------- -------------------------------------------------------------- <br /> , <br /> . , <br /> . .� S C ' � '". / <br /> , <br /> .�cL <br /> . <br /> . <br /> , <br /> y ,�. . <br /> � No.. , -------_------�--J - - - Owned b C [.s���tr � <br /> ----- -------------- � ---='_s--�.v <br /> ; /_ . <br /> . Applicution and connection by-----s-`=---_--`-----------.------------------------------------------------------ Licensee <br /> ; � _. <br /> Remarks --------------------------------------------------- --------------------------------------------------— ---- <br /> . Depth of 8ewer at Connect:on � I �� I � <br /> J <br /> � � ._,4_._ t..-, ' 7 <br /> !:� -- <br /> .. <br /> '4 <br /> I . �. � <br /> � �.._.__..__._. <br /> � L <br /> �� - - ----- --- <br /> � - - -- - _- � <br /> , <br /> ., � <br /> , <br /> � _ II , � <br /> , <br /> �1 �t � 1� <br /> '. 1 1 1 '7. � V�iCJ� I 1 <br /> w <br /> � ! � <br /> j Connection made the________day of________._________ 101__:. Examined and approved by______________ <br /> -- ------ <br /> , City Engineer <br /> ------------------`---=----- ----------Snpt. of Streets and 3ewers By --------------------------------- <br /> BY-----------�------------------------ Inspector -- ------------------------------ -- <br /> � <br />