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�<< � ��`'r <br /> THF" �CITY OF EVER='=.TT , �.���� <br /> Date— <br /> . . -.. . � . r. . '. <br /> • Skctch of Proposed Sewet Conncttion for Building Simated on Lot--.�-- - - Block_ �'��— <br /> Division or Addition ' ' __ — <br /> � • - <br /> No. ��' "' / i� - ' � Owned by � � <br /> ' :f ��u/>-� � ��7 i �o . Licensee <br /> Application and Connection by — <br /> . Rematks: _ <br /> �, Depth of Scwcr at Connmtion I I I � <br /> � ''�'; :.+:'. �%'j--- � - <br /> � <br /> ( � I <br /> , � - } � �� <br /> ��. 1 <br /> , a ,;N_. <br /> I s• — i <br /> c ., <br /> �� .. <br /> : ; <br /> � <br /> .:�. .. ,�,� � <br /> I � � � <br /> � . � � <br /> ,. <br /> 7 �.�,� C <br /> Conncction madc [he/—day of__.. l9 3/. Lxamincd and Approved by—_--_— <br /> , —�— � a�>e�a��R <br /> __Supt.o(Streets nnd Scwcrs Fly_ __ � � � j ' —_--.. <br /> /i: �• <br /> By—l`�' `;� •�::� �_(: S. Inspccror _ ___ _— ._ �___._—_--___..___ <br /> _'T- <br /> u ooae�eai�a�neM aima <br /> 11'10:� <br />