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, <br />� TH� I��TY OF EVERC", T' !/ �� <br />D Date_ JfJ�� <br />Sketch of Proposed Sewer Connection for Building Situated on LoL. �O ____ _ � <br />`7 _ - -- - — Block----- <br />Division or Addifion__/7,_!��__._ __ � ,�� � <br />� <br />,p -- T <br />-- - <br />No.—����..�i D� --- Ownedby-- ��4�4-�,L -- <br />--- <br />- - - ------ <br />Application and ConnecGon by __ �/�i�t �j�..�(,f.�x� <br />p— — ------ <br />Rem�ks:—'����--N_p-C ^'-{' �ci?�S_ ___.-- ---- ----- --I.icensee <br />Dept6 of So�io� al Conryectioa <br />i <br />_� TcaN.c.Qc� <br />---•— <br />�� � � ��-t�+n.a.c.iw�-- � � : � <br />Y-4-t`M..�Iwa.-..- (':.i' c,F-�a5� <br />V <br />�iw2 w.� 71'�.wi¢� �1-�c..o- l�'-�^-' <br />., <br />�J c-w_ ,d.u.•�{-e.u... <br />Y <br />Lattu�.c��. �l.f.�u- <br />�u-��. � xa... <br />� <br />Connection made the. ✓�___day of __�uJ <br />U <br />By __ _- -.. _.- - --_��k� <br />I— <br />_ 19 ��. Examined and Approved by_ J� � V i_ C�j ✓/ �__ _ <br />�1'yJ'Y�� City Englneer <br />- � - -- — - -� . -_ SupL of Strecle and Sewera gp__ _ <br />� — -� - - Inepoctor <br />`�-�5f�� -- <br />