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i ! <br />THE �., i Y OF EVERE'. . <br />Dats �1,• � �, /�r: > <br />Skelch of Proposed Sewer Connection tor Building Situated on LoL_ ./<'_-r:_ �_�'<.__ __ Eiock_.: _' <br />Division or Addition---- � .-. ''� . - _ _-_ - — -_- ---- - - _- _- <br />No.—Z��-�'!c-"�5�'g�--- -Ownedby ----lj.,r/, n�'-- --- ----- <br />Application and 6Mweli�w� by_ � % •: •�• �: : �`.� , : - - • - - -- <br />----- --' ---- ---- - - - - -- Licensee <br />.; ,� . ; �, � <br />.. ' <br />Rem�ke:_-.;, ,.,, f ==..�._..� -�._,.f------- —1 l - <br />Deplb ot S�ae� al Conneclloa � I —��— I —_--� <br />J <br />i.. �i �+ '�l �.� ..'�" <br />!f � . <br />'i..AUCn.�c� f'-'C'`�L' :�c.w•-a. <br />CaAa� yZ 5 � nat.ii.. °� .�lt{�fd,C, <br />J <br />�?,�„��y kc.k.• Cst.:.,.,, n,E�:,f�o. <br />(�„e �%0 6,� L�%.ca.fi � C_w,.t- .C'� - � <br />`,� � ,��Cau; R-u�..�cc.� . <br />v� <br />Connection made lhe. �� a_day oE _ <br />-- - ,1�1�-e �.� �-�--- <br />``( ` �� <br />By _ _ - ` �t"Y ' - . <br />' � 1 <br />. � � 1 <br />�. I � � 1� <br />i I ' <br />i <br />� <br />� { , <br />. L� <br />� <br />I�1 <br />-t- - ' ., . — � <br />� <br />� <br />'�,��e ti��`- _ 19 � 3 . Exc�nined and Approved by-- - �' ` _r': / • , — - <br />/ , City Engineer <br />.__ Supl. ol Slwels and Sewere By_ _ .._ i __�__.��_� _ <br />Inepeclo� ? 1 V O � ' _ -- --- <br />