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THE (.-dTY OF EVERE't. T v <br />Date /G 5V± C 4 <br />Sketch of Proposed Sewer Connection for Building Sit ed on Lot Se�_n.ftm6_tl Block__ <br />Division or Addition <br />No._ 2•—`1 h �7 Owned by_.LL_S_l b hni <br />Application and Connection by. 11Lo_, L �6e_n_ ___________yieensee <br />it <br />Remarks:fC)_E:cmi; e 130J5 _ <br />Depth of Sewer at connection I I <br />r <br />Connection made the. Q_ _day of — _ —19 _�3 . Examined and Approved by_'e 0 Celu-rr <br />j <br />��C� I City Engineer <br />---.__Supt. of Streets and tnOV <br />Sewers By_ J lRl1_�1ifi N.[l <br />By_ Inspector _-__— -_,—_--'__Inspector <br />