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THE CITY OF EVER-Ti <br />j Date -- <br />Sketch of Proposed Sewer Connection for Building Situated on Lot f 1__ _ Block <br />Division or Addition__—- <br />r <br />No.— n _ _ OIwned by <br />t <br />Application and Connection b -ti'r +'A� --- - -- Licensee <br />Remarks: --- <br />Depth of Sower at Connection 8. s <br />r <br />0C <br />Connection made the- — day of v-U nt, .19-_—. Examined and Approved It v I <br />City Engineer <br />Supt. of Sheets and Sewers Hy'' nS - <br />_. lnspr^tor 17054 <br />' . .... •Yu(yr m. <br />