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� <br />d <br />0 <br />0 <br />TH� CITY OF EVEF��'I'T <br />Sketch of Proposed Sewcr Connection (or Building Siluated on Lot__ - %i:_ �_ Block_ _ <br />Division or Addition-- — � ' ' _ ` _ <br />No. � - � ,- _ _ __'--Owned by -'- .• <br />-- _ __ _ <br />. � ------ <br />Application and connection by � — - - __ _Licensee <br />Depth of Sewer at Connection <br />�'����C" � <br />_-� G _..- <br />� I <br />� I <br />� 1 I I � <br />Con��ection t�ede the �'Z day of'��19�j Examined and approved by � <br />`� <br />(� T� <br />` '�' .�Y`� Supl. of Streets and Sewers. Q e�'Z 1�) By :, _ <br />BY � c' -"`-� —r - �f ��`���1 -- . _Inspeclor. <br />� `-- — ----- - <br />� <br />� <br />City Enginecr <br />