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c` <br /> . . � �� � ���� THE CITI� OF EVER' `TT . � <br /> ��yC� ��a . - <br /> Skelc� of Pzoposed Sewer ConnecGon for Huilding Situated on Lot____ � — Z� _ Block—___ �•"=J <br /> Divisioa or Addition __ � <br /> No.__—i__��.£Y.�J'�-ac--c��_ Ownedby_ ��7 rf ij% y.i�,r,. s� ---- — <br /> Application and Coanectioa by _ __I.icensee <br /> Aem�ke: � <br /> _ Dep!!� ot S�aer al Coanectlon � I I � <br /> '— ( '-�� I i — I <br /> � � ��x �' ti�,�1.� �-� ��� �ti�e � I <br /> :L <br /> �� � <br /> �l'15.4W �G� `71etCL� �� 3y <br /> �� � ' ' +\ <br /> �G--k��' ����sw(�NC:_ � i . �''� <br /> �jLL:-w �� l.S-�-�.v�� S=C.o�:,Q � � � <br /> i �� ` <br /> ��_, ��. -6�� kt��:� .<<<«:�. I I <br /> � ' <br /> �1��,�:� , � i � � <br /> .. <br /> i � ' r , . �,' p <br /> � <br /> I` � �c�4 � ; -- <br /> 1 i <br /> - , <br /> I�_.__� s . __ ` I <br /> __.. ___ _. . _ _. .. <br /> ___.. _. .__.- - <br /> �',� -- <br /> � 1 s V - I <br /> � � <br /> �i� � 7� )a�c f � '� � Y• �G�✓��7 <br /> Connection m��the_ ' _—day of—_— � 19�. Examined and Approved by_ _ <br /> �Cf ' ""—�\ City Englncet <br /> —�1 �"'-L6c� ____Supt. o! SlreeU and Sewen By__�����r,l�• <br /> Hy ` `��� —Inepecto[ / <br /> .Y�-�C',rr.. .....x.,<�..a . .�77U� <br />