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THE CITY OF EVEtf rj-fT _ <br />Sketch of Proposed Sewer connection for Building Situated on Lot_____ _________________ Block ------------------------------ <br />Division or Addition_____________ <br />= ---..---- ----------------------------------------------- <br />- - ------ --- <br />No. -- -- - =- - Owned b . I --------,--------- r- '/-------------- - <br />1---- ---------=---- - -- --------- -- y -- - -- - <br />Application and connection by- ----=----------=------------I--------='------------------------------------------ Licensee <br />i <br />Remarks---------------------------------------- ;------------------'- ----------------------------------------------------- <br />Depth of Sewer at Connection I I <br />I I I I L <br />Connection made <br />the-- A-,.,! <br />�f'�' <br />1( ��� ._ <br />of_: ILV_____- <br />_____Su t of Streets and Sewers 0 7 0149 ____________ <br />________Inspector <br />I <br />1915'. Examined and approved by_ ------ ------------------------------ <br />City Engigeer <br />----------- - <br />