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THFusCITY OF EVEF�TT y _ <br />Date - <br />Sketch <br />r ! <br />of Proposed Sewer Connection for Building Situated on Lot % / 7 .� � Block ' "oy <br />Division or Addition 1 = ' <br />No. /,fit Owned by-+z ZD/ X L7I J - <br />Application and Connection by ��• `J- % �j%: i� Licensee <br />Depth of Sewer at Connection I I I <br />J- I <br />'onnection made the�Lclay of <br />4 pt. of Streets and Sewers <br />Inspector <br />`a s•a>•a\� x ms> <br />L— <br />Examined and Approved by Y" <br />Qcy F.setsts. <br />By— <br />11884 <br />