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THE CI'TY OF ]EV�RET'T <br />-- - ;. �: sia�k �,�,; 1. <br />Sketr.h oI Proposed Sewcr Co: nection �or Building Situated ; n Lot�. r�----- —__ <br />Division or Add�uon—'.— ' ." ^'r----= � �—�Y��- — -- <br />i _�a-.:,�� . t� --�_ <br />Ownad b � �, c.=!-.� � <br />No.—_' � Y- - - � __ _ __�_Licensee <br />. r , , ( , C �. �; � <br />Application and connection <br />Remarks . <br />Depth of Sewer at Conacction <br />� ' ! � � <br />� <br />(�� ` �t v?� "" �� <br />�--- -----Z - - <br />i <br />, ,_ <br />v <br />� I / I I <br />'n r�' i L �9p Examined and approved by <br />ConnecUon made the_ L�.�aaY of��- City Engineer <br />,� . _ � t � - <br />� �r�'' ',,yv _Supt. of Streets and Sewers. �� 1 j c� t� _ BY� — <br />♦ ` �� <br />Q �� } ��� ��-�% _Inspector. �' <br />r BY-f-'`..-^_,"-' ' <br />