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TI�� GI'1'Y OIi` F�►'ERETT <br /> ------- - -- . <br /> Sketch of :ropesed Sewer Coanection for Biulding Situnted on Lot_____»,__ _______________ B1ock__��{_5�--- --------- <br /> . , � � � - �:� <br /> Division or Addriion----�-�'-L=-a---:>s__t:�----C-'-'-'--"_---'------------------------- ----------------- -- <br /> _ i � _. <br /> _ , ._. 1 <br /> No. __�-__-�i_-�'-�--��-K�--e-------------------------Owned Uy ----="�----L I-�-I- -�-_�-i�--------------------- <br /> 7 � <br /> Applicntion and C:onnection Uy----t_�..-C:.:--_L�-E'-�-a`--yL--------------------------------- -- ------------ Licensee <br /> .. � � o <br /> Remarks _1_��---'�--1--=---------------------------------------------------------------------------------- <br /> Depth of Sewer at Connection _—� I I � <br /> i <br /> � �-�-- � <br /> - I - ��� .:, ;.i .. --- � <br /> , �. � <br /> �r} � i <br /> � <br /> . <br /> -- - -- - - - - - r;. :•- �;- <br /> - - --- -- - '� <br /> J � I <br /> y -:1 I r <br /> �' ' I - -1� <br /> �. , <br /> ' , I ` i <br /> Ji' ; :,__. _ ---- �- <br /> - ; - -- --- - - - I <br /> : _1 - .--� � <br /> Conn ction madetb�__�_l--day of_______a_________191f_ Examined und Approved by______:_____�----_------.:-�=----- <br /> _�f__�Gn' vL��'_`_'______Supt. of Streets and Sewera U��j�;t; , City�ngineer. <br /> -- _ -- , <br /> ------ ]�- J <br /> ' / ' � , ,�j,�r_ <br /> BY-�-�--�-- ------------Inspector. B7-/_-''Y-------=----------- <br /> l� u 1 �-/--�--�---^------ <br /> -------------- C>- _^ . � <br /> � <br />