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THE CIT� OF LVEF�ETT ,�'�
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<br />Sketch of Pronosed Sewcr Connection for Building Situated on Lot— � [31ock�L '�
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<br />Division or Addition— -- �T, , { , —,.' 1�•�
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<br />Application and Conneclion by____
<br />Remarks:—
<br />Depth of Sewer at Conuertion
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<br />Licensee
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<br />Connection madc Ihe_ �J —dayof �G��u.� . 191� Examined and Approved � '
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<br />__� _ / —Sup�. of Strec�s and Sewcr77 ��.. � �;y. ,� ,�� �� .'
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<br />By. _ .. �t_- � %.:Z�:��c�-G-�r .. Inspcclor �
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<br />City Engineer.
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