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� - � THf CITY C�F EVER�T'1" . -; - - . <br /> Date <br /> Skctch of Proposed Seuer Connettion for Building Situated on Lot!='--,— --"-'----=/F��� $�OC�` � <br /> Division or Addition ' --"�'�i�`�---- I <br /> � � � � '�/ <br /> . j� � Ownedby i " %y "/., ;�/ r,. <br /> • No. _---�--'—�= � r �.. <br /> Application and Connection by `� � � � L[tensee <br /> Remarks: --- <br /> �, Dcpth o(Scw•cr at Conncction � I I � <br /> - I .S%�';' '. }'r -- � <br /> i,''' , <br /> � � <br /> . \ <br /> ; <br /> I _ -- � <br /> � � <br /> I i ,; ; <br /> , <br /> �, . � , ;- <br /> , I <br /> i t1tt � � i -� � `��, 1j��' <br /> -c.---- � j-� 1�,,+ <br /> �`l�/i /<' \ � \y � <br /> � � .r <br /> Conneccion made the��� day of ' � -----19—'�• L•xamined and Approved by—i - (.�--=- ' " ,;;>c^F� <br /> �� c-,-� <br /> � _Supt.of Strccts�nd Scwers �Y------=1-_' / .._. . <br /> 13y�_�, -,� _,_� � inspector _ —. __ _ __ _ __.— _ _ <br /> �x eooe�eaYe�ue euei ��•�� � <br />