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THE CITY OF EVEF"LTT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition <br />i2 <br />No. - Owned by - <br />Application and Connection by <br />Date - - <br />Block - - - -- <br />-- --- - --- - __ —Licensee <br />Depth of Sewer or Connection /41 <br />I I <br />. /' _. <br />J <br />1� <br />Connection made thaF <br />l• <br />13 <br />Y , <br />1 <br />day of _ ----- --.---_.192 Examined and Approved by t <br />CIIY Engineer — <br />Sup[. of Streets and Sewers. D)'- <br />_. lnsiwctoc --- <br />day of _ ----- --.---_.192 Examined and Approved by t <br />CIIY Engineer — <br />Sup[. of Streets and Sewers. D)'- <br />_. lnsiwctoc --- <br />