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THF CITY OF EV�R '=,TT �,,r�, 2� ;,,� � <br /> Date <br /> 2 /r -� d �' � �� <br /> S!�etch of Proposed Sewer Connection for I3uildin Situated on Loc�__t� -' _ Block_—��_-'- ___ <br /> Division or Addition�s, � 1 `-' _�r�� "r�_�LT ' <br /> � -// �} /� ' ,� �� <br /> No._�"�I �� r�'� �r' Owned bY—�-'�L=� �,i /�.1/� <br /> Appiication and Connection Uy , �''� r�' �//fl,'.lJ.%'✓ � Licensee <br /> . <br /> Remarks:_ <br /> � Dipth of Scwer at Conntttion I I � ,1 I I <br /> � � <br /> � P Ls� <br /> I �� l�f: ✓l l� M� I <br /> I � i — <br /> : ��-:,�r S kF�h ; ry� <br /> �...�.----- - � <br /> � i - ,�, - - �t <br /> � <br /> � <br /> i � <br /> � _ _-� � <br /> �� <br /> .. , <br /> � ,� <br /> �� . , <br /> . � r�; <br /> . <br /> � _ ; <br /> _ �_ <br /> -�_;; �_ . , ��.� -- <br /> � / � � � <br /> , _ , .� <br /> Connection made thc_�-/_day of__-________—__19—. Examiued and Approvcd by�(_'_�t;�''�_ <br /> ! <br /> / c�n�,t���., <br /> , --- -- , _______Sup�.oCSttrcts and Scu�crs py__ �/ . /��(f�i1��__ _ <br /> � <br /> : 6Y—_—` . .___--_�.--_ .__Inspccmr .. __ . _. —_ .. �. - .____—___--_. <br /> // <br /> v vooe�e.avue e�n eneo �] <br /> lt'�--0?..J <br />