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�H� C.�'+T1'' �F EVERE-► f <br />nate--- - —'=— _ <br />Sk h" P d S�wer Connec•ian for Buildin Situaled on Lot ;� F- �� - - Block- _�IJ_ _--- .. <br />elc ot ropose _ � g <br />i l , � n' `' <br />Division or AdditiocL -- - ` � - . - � � -�-- =' � ---�T_ -- --- <br />� , _ - . � <br />No.- ---' - =- c" -- - =— - - �'-� - - - -Owned by _ �• .. L%1 _ .L'-.L-� :���s•?LL/��N_ <br />'. .. ; <br />Application and Conneclion by '--- ' � . '��"- -. - --- --- -- - -- - ------- <br />� . .f . ySB� <br />Licensee <br />Remarka:- - - - - - - - - - ; � ,_ t -- - - - - - - - <br />Depth ol S�vio� al Comectlon � <br />�1 � 1_ � �i <br />'7 C`.rYtcvt, �c V �'y_�:�.�..�:.�. <br />l�.0 C-xC.L� �"��''� iU,�. '1• <br />�: �� �-� a.�u�,�a�c.�. • <br />`I-�� (17 • ia . �u�c-�c, �1-e'".`ti <br />,> > i <br />J -�',,- {,o '4.�.� � : � R-ti�_�., -- — -� <br />J � ' <br />,` <br />1n <br />—' ___._ —' I� <br />_ _ _,_��----_'�;".C'v <br />,__ —_ _ -------- - i <br />> J3.<-s��t�� I iL�) S <br />(1 y � � � � <br />�---. <br />: ; �. <br />Connection made tho. �`'� ._day ol � � _ 19 6 y. Examined and Approved by_ � i• -- - <br />� City Enqinecr <br />� Supl o: Slmrls ond Sewen Ay - - • ��- -`'-. - �j-+---� <br />- , �,; <br />ny ���.f,,.y :,�,,< 2?�1�7 _ - _ - -- <br />