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YHE'�'���TY OF EVERC 1'T � <br />. . _ . � Date � �' f „? 3�/j� '� <br />/_. i � . � _; <br />1_ I .; ',• . I ,y ' �/ l�.i `J. ++' f !f i N' .- `- c / j - .r `> _ '� � ur'' <br />S�celch o[ Proposed Sewer Conneclion for Huildin� ' 1a�ed on Iu�_ -/ `------- - <br />_ � $tdc�C_ - <br />,._, u- ------ _--- — - "' <br />Livision oi Adclition- "'� - -- - -- --- - -- � L/ ,t ! <br />/ ! (r��•'r.:fi� fl Q+._it�Ji �Na'Iii.in..f .+..t/. <br />_! .,; !{! �' ' � -- -Owned bY C,% `�' --- — -- --- <br />No.__— ..-�''_-},'�`-- -- <br />�r� c- r, � � ,� . , — - -- Licensee <br />Application and Connection by - __-L— --� — - - - � , ; , <br />i :/ /-9:: <br />.. . . �•� ,. ��_�:J � i�� . -_ � - - � - - --- - — - �--�- - —�- <br />Rem�ks:-�="" ,L,: .. •.: . _ --- <br />r— -- — -" � � <br />Dopth ot Sawm al Comacllon <br />�� r �.�'� , °L � �,�,�x-a- ,N-t..'�- <br />QLwe.�, C. e��.kc,��c�. te � � <br />�,�,�C,y��s-.� Atr �a,�.� �ut <br />�.,:�,�- q y,,' ,�--�-�' p.�`''`'�` <br />" � $" �G a <br />`�S <br />p,,,,t�.' � .'}t�t-�i..efct.- C�,4.. <br />�'y�, a;it��.(l�� A-��:tLi. <br />5�.��Fi.R- .�-y 71 a.�ak, <br />�.,'.,a�"Y"1`1L ' <br />- � ' ' ' ,�, <br />. � � � , �_ � � <br />ZI, Y `- � <br />`�'j r�/ J /_-���.,., <br />r''� � 1�U-��.��-_ 19 O 1. Examined and Approved by_ -.. - -- <br />Connection made the day o[ _ � Ciry �ng� �� <br />�- r ' `' <br />(� _ Supt. ol Slreels and Sowcrs BY� - -� -- —�'� <br />_ ,` <br />__ ___ __ ��\ - r(� c. p <br />/'I / N a�'`�'Y Inepacicr f�...J V V D . _—. _— <br />Cy - � - i <br />� <br />