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E VERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot ----------- _ /_-__ / <br />--------- Block.----------------------- <br />Division or Addition = -- ----=-=--------------------------------(->-----..- ------ <br />No. -- - -- - - --- Owned by -------=---- -- <br />---- - -- -' -- -- <br />---------------- <br />------------- : and Connection by ----- �=---=-= ---='=------------=----------------------------------------- Licensee <br />Remarks--------------------------------------�-- ------ ----- --- --- ------ - - ------ -------------- - <br />Depth of Sewer at Connection <br />�I Ir � <br />Connection made the.of - day ' ___19L__ <br />u <br />l� <br />I <br />Examined and Approved by(-,, <br />V <br />Y----`.1 I _:_.__.c_r -_+ ----�?----Supt. of Streets and Sewers 06820 <br />S820 � � City Engineer. <br />B ------==- `- r- I" L=-�'-------Inspector. By. �i��l'- <br />t <br />_ r ) <br />---------------------------------------- <br />