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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_ -
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<br />Livision oi Adclition- "'� - -- - -- --- - -- � L/ ,t !
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<br />No.__— ..-�''_-},'�`-- --
<br />�r� c- r, � � ,� . , — - -- Licensee
<br />Application and Connection by - __-L— --� — - - - � , ; ,
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<br />Rem�ks:-�="" ,L,: .. •.: . _ ---
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<br />Dopth ot Sawm al Comacllon
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<br />5�.��Fi.R- .�-y 71 a.�ak,
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<br />r''� � 1�U-��.��-_ 19 O 1. Examined and Approved by_ -.. - --
<br />Connection made the day o[ _ � Ciry �ng� ��
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<br />(� _ Supt. ol Slreels and Sowcrs BY� - -� -- —�'�
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<br />/'I / N a�'`�'Y Inepacicr f�...J V V D . _—. _—
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