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THE :(TY OF EVERE .'T � <br />• • : _—�� r -�i/-ie. �p <br />' No: �l �o o./�ur:. Date / _ riy , <br />Sketch of Propo�e� Sewer Connec4on for Building Situated on LoL �(-';fr. �� 4/� _�/� Block_ ________ <br />Division or Addition—_�'<_._�� � ��� � � <br />is= ; . � <br />No._ ::r • "� �__%. ' — — _Owned b — ���.Y'•t� �_ ��= L_6.� R.--- <br />� — �,,/ — ,� Y-- - - -----� � <br />Application apd ConnecNon by .�'Yt ' ' ` � � " �"!-� a �j,�.'.., � <br />-- — <br />.�fi .�a �� . . -- _ _-- - --- — - Licensee <br />r . `�.= r-,-.. . . <br />Rem�ka:�----� .—' ' _ — -- -- -- <br />DepIL of Sa�iec al Comection I f -_ -� � -- � � � � � � - � �� � I � <br />.J � <br />�� „ �.trr,�.t.t- �v G �� � [L�" <br />w P ,4;� y-' 3 ;, �� ,�.,�n� <br />y-�" ��, 1-1 , �s Pt� �, <br />��,tu-a-F-- �-'�e.� , <br />' ; <br /><'�. : <br />�� �r��� <br />:'' <br />� � <br />Connection mcde ihe.l� __ .day of_ __ �� <br />B_.--- ---- -�,,f�F`��J <br />. <br />� <br />/ � <br />_ __ __]9�O_� , £xamined and Approved by_ �`l V__`� �`�y�_ <br />j... /�� .' i �City Cnglneet <br />I. ol Stroe�e on r BY._' ' __�_I � // � I'tr. 4. <br />��� 3'7 _ . <br />Y - - -' - . . _ - Inepoctor <br />