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THE C.,TY OF EVEREI <br />Date <br />Sketch of Proposed Sewer Connection for Building/Situated on Lot_ )CSS <br />Division or Addition '_ _ __ _- , / % ! ---Block <br />Owned by_,P_�7— <br />Application and Connection by__ <br />-- <br />Depth of Sewer at Connection I <br />•/ 1 AAA <br />1 <br />1 <br />DQ}j <br />In <br />F_ <br />Connection made the day of _ 19 . Examined and Approved b <br />yCity Engineer._ <br />Supt. of Streets ands ewers By -' - -+-. — _ — --- ----- <br />I'�0(� pp ^ <br />By - _ —__ _ -_—._Inspector 29 e2..0.'.t—_— <br />