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T�IE GITY O�' EVERE'rT <br />- -- -- --- <br />8ketch of Propoaed 8ewer Connect;an for Building Sitnated on Lnt________G__!'_Z__ — <br />' ----------- Block------: o S <br />Diviaion or Addition-----,j---- =��K_�__¢_J�_,�C:�����----------- -------------.----- <br />-- - ----------- - --- <br />�y --,_� ---- <br />��r - - ----------- <br />-- . i i . <br />No. _z-_41/__�'_l4�.�_ ----Owned b• ,:• <br />' - ----- ------- !-"C._--'-..--,�''=u'= --- <br />� --------------- - <br />------ <br />Application and connection b � <br />s----�-^--- ------- �- - -------------------- Licensee <br />--- ------------------------------ - <br />Remarks------------------------------------------------ <br />----- --------- <br />----------------------------- ------------- ------- <br />— Depth of Sewer at Connection f I I I I � <br />i� ��_ J I ^ <br />� � <br />-- � _ <br />r _ ;T�„�Q� _._._ _ <br />_ �. <br />� 081$J`� �i , <br />I � <br />+ I <br />0 <br />--- � � I I , I � I <br />/ � <br />Connection made the_ ✓___day oF___:___._._______ 191__.' ExnminednudapprovedU�*______________________ <br />� -------- ------ <br />' City Engineer ' <br />�� ----------------------------=-----------Snpt. of Streets nnd Sewers B I <br />y- ----------------------------- -- �• � <br />By-------- ------�----------------------Inspector <br />