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Tn h (CITY Or E'VER.ETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot____.'- - ------- <br />Division or Addition <br />No. - '-= -=--- 1-- - -� `= -=- 1'------------------Owned by ----------- <br />Application and Connection by-------- _���__ L=_1_=:Y_iy_________________ <br />Block-- _L 4---------------- <br />Remarks-------------------------------- ------------------------------------------------------------ <br />Depth of Sewe, at Connection I 1 I <br />l <br />rt <br />1 1— <br />Conn tionmad &--_dayo�___--___-___-191� �{_ Exnmincd and Approved Uy____._______ ___ <br />�Jv�/---------� __ __Supt. of Streets and Sewers 0551'7 City Engineer. <br />By--- ----------- ---w- ---Inspector. By- <br />----------------------------- <br />- ---------------------------------------- <br />