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I <br />1 �! E CITY OF E VER.ETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot ------- .............. Block - <br />Division or Addition - <br />No. �------------------- ;----Owned b t_ <br />Application and Connection by____'�_/1�J1iyy, __ - --- --- - - <br />y� /f + -J Licensee <br />Remarks--�p'►�c�-'�--�L'�✓_h—.�¢1/_l�C_�C___��------ o'=�^�- ��- -1-�� .l� <br />ll// i <br />Depth of Sewer at Connection I <br />Y <br />Connection made <br />I I I <br />-T-•-may:/-�/�./�ii U/1 � _ <br />1 _a_ <br />_______191`}_ Examined and Approved by <br />:�-J---------- of Streets and Sewers <br />6063 ' <br />�_-_ _ _ ':_---Inspector. 0B { <br />