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� <br />THE�'I i Y OF EV�RE �"T <br />7 ��if� ~ �/ <br />Date� <br />�- -- — Block- --- --� - <br />Skelch oE Proposed Sewer Conneclion tor Building Situated on Lol_ _----- <br />Division or Addilio�L[t'�1L:-' ' �('�TOM__ ��i1lL�• -- - - �� Li��/ �� <br />. i • /-/ y!�fGnek - <br />. ��itrW cr _— -- <br />No.— /� / <br />2�2_� — �r` „� , r r. _./r, , _ Owned b L- - -- ----=--- <br />' � i:���C� /d �^-^-'�� - - — - Licensee <br />Application and Connection by ' �' '�'' �� � - <br />t�/ f �4 � I n <br />Rem�ks:- .�--�'—� , � / `. <br />Daplh ol Sawe[ a� Cowecllon <br />L� <br />�� <br />LX <br />Connection made the. � ._-day oE_ _'_- - ���J -- -19� �. Examined <br />-�0��-y_ <br />BY ll�.,iL`. <br />_ .. _ Sup�. of Slrocts and �ew¢rc <br />- - ��G�.Q <br />_ ___. inepoclo� <br />and Approved by_ �i-�'-+---L---'-�L-N <br />City Cngineer <br />i� <br />By_ � � <br />�� �i . !_.. , �� ...At��.=/ <br />,� <br />Y% <br />