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THE GI�Y aF E�'ERE'rT <br />Sketch of Proposed Sewer UonnectimiFor Building Situnted on Lot____c:_!_________________ Block____ _____ -_____________ <br />Divisionor-�tdttit�oa-=----`-�--------------------------------------------------------------------------------------- <br />No. ---'=�------- F------------=-=-----r-----=--= ------Owned by ----_=--=�-----`'=' . . :. -�_-11------------ <br />i <br />-- -- - -- '�- <br />' � r • _ <br />- --- <br />Application and Connection Uy_____r ____t-____ =__ �_._______________ _,'____ �_ "�-' '-' - < -'� � ____',\____ Licensee <br />� �---�.--, . ; i <br />--------------- --'�--- <br />Remnrks ------------------------------------------------ - �- <br />-------------------------------- --------------- ------ <br />Depth of Sewer at Cannection � <br />� <br />a .:.'.. .... / '%- ,� <br />—.:- f ; <br />/;�' �" ' �i.Lv <br />% IF_",.<<v <br />I I � <br />.. --- -��� <br />� <br />v. <br />� <br />9 / _ ,� • PP Y-----------���`-=-----'--� / <br />/ � , � I- <br />Connectianmadethe___�12__da of_____;��__Ci__191.�_ Exa�med and A roved b '_____ <br />?� � �_. <br />______ �t____j,_c�___! __t______________Snpt. of Streets and Sewers �fj36,1 ,� Cit En neer. <br />-' Y 8� <br />� : , ,: <br />`'' By--'-=--=, �-----'=----------=-------Inspector. B�--=--------= ------------------=-'----- <br />, <br />-, ,'. i �- � <br />------`--� =---'-- _----"--�--------- <br />