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THE 0 rY OF EVEFRET'i <br />Date - -- <br />Sketch of Proposed Sewer Connection for Building Situated on Lot — <br />Division or Addition_ �'�-------- - -- - - Block -- <br />No._ _� �t�, !_ r _Owned by ``r ' i �d./j r.": d i' /'�'"• - - <br />Application and Connection by _ _ `J `\ f i ea <br />Remarks:- --�rrr ` - --- - --- ---- ---- -Rec. # f 7 <br />Depth of Sewer at Connection I I <br />Nr_o,,� la A yi. d E <br />S P L '1 ' -. <br />4" 42 ;d- t" S i� d : L.uF-e.- <br />Connection made the. _L� day of_'! "f` u"cti 19 Examined and Approved by --__ <br />—_Supb of Streets and Sewer. By <br />By -----------------Jnepedar 3 OG 3 4 <br />City Engineer <br />