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r <br />THE GITY OF EVEIi.ETT <br />- -- - <br />Sketch of Proposed Sewer Connection for Building 8itnated on Lot_______��_______________ _ Block____.i c+________________ <br />Divisian or Addition---� ------------------------------ ----------------------------------------------------- <br />---- <br />; . - „ <br />�,� . _ -- ----Owned b _: ^ �.� . �. ; � .:--,,i ;i[, t�_� i� i <br />No. -1-f— --t--------- �------------------,:------------ y --=---------=---=�----` --'=------- ---` ----- <br />' ,���1 t , ' L--- <br />Application and Connection by-----�--=c_,_� T�L�t'L.._ti= =;�=-; =_y(-------------------------------------- Licensee <br />�. <br />Remarks----------------------------------------------------------------------------------------------------- <br />Depth of Sewer at Connection � I � � <br />Gi � � I <br />-- 0 � - -•�----- , . I <br />--I --- - �' i: L �, ?.�_ti� _ � �"; - — — I <br />_� <br />v' � <br />�'J <br />-���_—�- <br />—'I - � r;/� :i ti ;n:.. ;�_� — -� <br />/ � . %; <br />y _________191_ Examined and.A roved b �� �' �� � I�_�.�--- <br />Connection made tk�_�! -__da o�f_____ � � pp y__-__.r_-�',--_--<_ ___ <br />f:�__%ti- ._ Zy_r-a_ L�C�`__8upt. of Streeta and 8e�vers �J�73� OityEngineer. <br />--- <br />� _ -_ �---- � ; �� �! c <br />,�-G � �� �_____Ins ector. B � - � � <br />By- �� ----- --- <br />�----�-�--- P �----' -:- �_-_=2Z...��ildcl—r-- <br />----=---���'f �-� -=-� =�-�'� �'---- <br />