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.� THE CITY OF E`v ER�TT <br />- �-- <br />� Skel�h' of Propos �' Se�vcr Connection tor Building Situated on Lot_-!_`,L� Block�� S __ <br />' Division or Additio:�------ ---�f��---��----- ---__ -_-- - <br />No._��<_ ----�`�- uc` —Ownedhy_ _ ._ _:,ii._,{� .'�i i.,r-y-7� — - <br />. Application and Connectionby__ _'J ,� � • � % ____.._____ Licensee <br />Remarks:. <br />Depth of Sewer at Conneciior -� <br />; ., <br />- %' — _— <br />%j .-. � � 2� c c�_ '�-t-� <br />L I <br />/�l.r /%o , jv// <br />� <br />� <br />� _ <br />Coimection made the �1'. '':: �dayof_ ,� _�`_• <br />�>�----- - -. _ _ __ .. <br />-_ --� ------ �-- <br />%: <br />_ f� <br />� <br />I <br />- -------__— — -- <br />,,� ,,. _ ,_ ,_ I <br />OSJ3.1 � <br />, ; ,.;.,'..:-- ,. , <br />--- -.191_� Gxamined and Approved bY--__. ��'_ �__L ' � <br />. � � F � Cily �nginccr. <br />--Sup�. of Streels and Sewcrs Qy ___r.1c:'�' ._�.=�:�.iz_�J ____ <br />. �____ Inspcclor ___-_._��-2:_._.al_- .J- Z. <br />.,....,.F �... P �,.. , . <br />�: ' <br />