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��, -_G THE C.,�TY OF EVEREI 1" <br />Skelch of Proposed Sewer Conneclion !or Building Situated on LoL __ __ � s <br />Divisioa or Additio��i './' �'�r �� ��- .�% :, �. � .— <br />Date /Y�/ "L S. /�,6,� ✓ <br />Block__._ _ <br />No.— cC,�l ,� �r.� /�r� : -- <br />Owned by--'1-1—I��i'c; .�L <br />Applicalion and Conaectioa by_ b�� ?�n ��___ <br />Remcvke: � " ��� <br />=�rv JN o.� c'��i �1"n �'�'�'d_. r S<%' _%.�j,.----�------- ---- <br />DepW ol Sa�ver a! �:onnoctlon I I /� � � / <br />/J!-Y �/-!J / � ��y+�/ J � � <br />I �7 /�� <br />i ' <br />•/- �..... ._i�ii.". tn V <br />t_ <br />V��Lt:�Ci.etti. i. 1� •� ._ ...f.._ <br />i'J.t��:.'_�.ic� Ax<'-- � . <br />`I `' !� .1j , f. �7. �,�(" �' is � <br />• ,. I <br />� Connection made the_,`� �'� �� day oL_ �_F_'__ <br />_. . :�:, . , <br />� <br />� <br />N�! <br />r�c� <br />__ _Licensee <br />� <br />--� I <br />__I9_�_, Examined and Approved by_ __ �'�<' �/I:• _ <br />C' <br />• ---_. __Supt. ol Sl�enh oad Sewon By__. ___ . j� T'h' Eng(neer <br />B . ( '/`�--._____ — / �a! y / <br />� Y _ ___ /� ________ __._ _Inepeclor / <br />� m-",��• ...�....,.���o ' �' ___ �� <br />1 �259 . -- <br />