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1 <br />ql(O 04� THE CITY Or*EVERF'TT <br />Date <br />r. <br />Sketch of Proposed Sewer Connection for Building Situated on Lot ' �� L' r/r Block <br />Division or <br />Application and Connection by .,T / ='/ A A / of IL —.license <br />Remarks: <br />Depth of Sewer at Connection <br />I I I <br />I : K 77' <br />Connection made the r day of ----- <br />19-J) 6 .Ezamined <br />—Supt. of Streots and Sewers <br />'�---- inspector <br />• eeoes t.e six sees. <br />;" <br />and Approved by <br />City Engineer <br />By- <br />fN <br />