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THE CITY OF EVER :TT <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot z 7 2Cr _ — Block—_ <br />Division or Addition /� i % o /= I/ !' 1 t L Tr <br />No.— / % /Z—Owned by 4'Ni7/^ <br />Application and Connection by_ 1"4 C- <br />Licensee <br />Remarks:_ __- <br />Depth of Sewer at Comecson_— <br />7 <br />-. /67 - - - <br />Connection made the. -- -----day <br />of__ <br />_19.__. Examined and Approved by <br />/_ • V/ c o LV ! N <br />-- _ Sup!. of Streets and Sewers By F. l{ �E� <br />-r-r- <br />N �` r City Engineer <br />B7— -fir <br />_Inspector <br />