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TH*CITY OF EVERdWTT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot Date Fe. /i% <br />/2 - / 9 / __ Blocky '. <br />Biuisiot»,y�ition -__ <br />Nt• (D� �U u (Sby L. �-7 -- <br />Owned by L <br />Application and Connection by�— <br />Remarks <br />Depth of Srwer at Connection <br />� 1 r <br />s <br />Licensee <br />I <br />Connection made the_- .day of ._ <br />19__• Examined and Approved by_ <br />— -- ------ --- _Sopt. of Streets and Jewers - C"> L.1", <br />----- <br />-----__.—.—_—_- -_--- Inspector----- <br />u eoone ee>ae ee" mis> <br />I1 81. <br />