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THE �ITY OF EVERE�i T <br />v <br />/ Date � � 6�/ <br />Sketch �f Propo,ed Sewer Connection foz Building Situated on Lot _T-�:_��__ _____ glock_ _-" <br />Division or Adclition_ _�_ Sx _ .�L , -%� ,-�- <br />l.� �jJ-,�� �'�------ / ------ <br />No._ __�V_ `_- �' �/� �(�t1;itA.Iwl----- - --Owned b �d"h _ - - <br />Y---- i�L �7i�� - ---- <br />Application and Connecuon by�2mN� ���� ,yl,�_ Licensee <br />---- --- -- -- <br />Remarks:�d ' �_���In�,-� �` fLi�-p -- - - — <br />Depth ol Sa��er at Comectlon I - ... � .__ . . .. . � -� � � �- -� �— — <br />.�J <br />��r , Ir <br />C, �,.c.x.: c.{26,a. t y- <br />.} �i � <br />: J,I�.W_ll�✓- � 5 .C4L�L.l..�L. <br />r <br />�n.��+.t'� .Ct�.., l %. � .�e Cc,,— <br />/,!-��L{��a,w � <br />� p� �y <br />�(. �� �� . .✓ . �,bu c.0 <br /><w c, /J-c�c'-ti <br />iP.A,�.-G �o II.I-w�<., G�'t,�G..a.� . <br />�1 <br />( �, �� �°h� �� � �. <br />I' <br />_;��- <br />,.,� ,,��. <br />_ . ;, <br />� <br />,� ,�� �,.-, <br />E ��J <br />J <br />:, <br />�,. r <br />���` p �- <br />� <br />� <br />Connection made the. � ��_day oE _.�� ���� '�r <br />------.t��f� K,L(..itl7' � <br />�.. '_ . __ .__.__.. _. <br />By_ •�� �Ct�,l _ __ . <br />. ' � <br />_ 19 u�. Examir.ed and Approved by_ __ _/�_1_� � 0�1_%h_.._ _ <br />� �.�, Clly Engineer <br />_ SupL ol Slrecta and Sewaie By_._ __,���71��4 <br />Inepoctor 2I8 4 3 � <br />