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C7F EVE�-�ET .' <br />Date� � �U [�% C l0 4- <br />Ske;ch of Proposed Sewer Cannection for Building Situated on Lot. _L.-z� _���_ S__ Block_ 'Q �- <br />Division or Addition_ SM ! j�N'S _� ST� a''. !JL� T�O. c(J (;, �� __ __ <br />---- — <br />No,_ 57;�.'Z=2 /✓,� _—=� T —Owned by_ C�0 : U if/ S_4!/Q/'Z r�{_ ___—__ <br />Application and Connection by_ �/!�� _ Licensee <br />�� � E! <br />----- - ---- ----- _ _ _ _ _ - <br />Rem�ke:—��i a —/'%2/Y/ � r--- � ��G G _ _ _ — ---- ---- <br />C.0 S.S. ` � <br />Dopth ol Sawe� al Con�ecUon � 3. 7 S �. Z s I <br />— � �2v� sT � <br />„ �, <br />y � �,�„` t� G <br />�� � �L�, <br />�.�-�� !��'-�-.� <br />y �' ��.5-y , Ns�u�- <br />�.t�u .t� c� �. a.u.� <br />Connection made the. �b�' _day ot _ <br />%:�j�� <br />� y <br />� "3 � r:' �7 ---- i <br />� � � <br />�fl"^� _ .19_`_� �;� Examined c.�d Approved by_ _f �7 `" ' C O �'V� <br />U 1 /-� � City Enginccr <br />_. Supt. ot Sireele ond�5erven , By_I'�-�_F '� L��_!.%1.��"'" }S <br />. <br />Inepecto� -. '__. __— .--_'__--_ _____ <br />227�4` <br />