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THE �.:Il'1�' OIF EVERE'. T �
<br />Date �"7n /'� /%� �
<br />(i, i 'e
<br />_ Block ��� ��� . Tt> ��,-
<br />Sketch o{ Qcaposed Sewe� Conneclion for Ruilc�tng Sduqfed op� ��c. ��-/r ?„ �- �� �r .�',�"y"
<br />. . , _ � i 1 /� �
<br />i.�f,, r - .. ./v;.,.. .,T.,. �. ._,_ ,.,,.:.,,,_,.ps.� ,,. --
<br />Division or Ad�iuon_-- � / 1! �•' T _ — -- �Jr�'/,r �j/�:��.,,,�
<br />!n✓ L�.�L `� %r.rr/� .___.._—
<br />,�.� ,r� .,�G X .,.[ fvwr� +! ._Owned by- . - - -- -- — - -
<br />No.— _L�.':•-"' � -- - -- . _
<br />,
<br />�'��,.,,e ., • ! . - _- _ Licensee
<br />r�v�^� �=-- --- ---- ---. . .
<br />Applicatior. aed Connection by�._ ' � - — —
<br />.� �. - ^ .
<br />-- --- ----
<br />/ __{-��_/?� U 5- - --- -- - - _ -
<br />R�3marka__. � ---- - � �
<br />.+ �
<br />Doplh ol Gv�er at ConnecLLon 1
<br />J
<br />5 � � � 2 �.,.� P�� .�
<br />��,�� �,�,�..�.�.�,-�-- -�, �,"
<br />�-`r�-�-t�o-.�- o.� ��-��-��;c
<br />�,,�, �., .(�t,�.e-w- /.Z�u,,�c cc.,
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<br />lf .�t.CtA-ASi CL-�I-QJt+^� r
<br />�" (j ,.�J. �.o,,�cx;r.. /1c-us<.,
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<br />w�:
<br />Connection made Ihe. �. -. day o[. -_
<br />- ._- _ __ _`���{/ p//�`4i -
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<br />By.. . _ y,_ � � '
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<br />�, �- �,.,.,
<br />�- suti�. 19- - _ Examined and Approved by_ --�� - �--`--� � - - �
<br />_ . . - - — cily �n9inee�
<br />� _.����/�G t "
<br />_ Supl. ol Strexla and Sewere HY— - � ---- 1
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<br />Inepectot ^ �.y ry O ' . —..' -'— —'
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