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THE CITY OF EVER" TT -- <br />Date _ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot Block <br />Division or Addition__ - -- -- <br />No.__ ,/`31L _!`9Y1//a Owned by <br />Application and Connection bv_ <br />Remarks: �, .; < /n , �., ' ✓�"� ' - r�,ti 1 — _ _ <br />Depth of Sower at Connection I <br />C <br />01 A+tLtz "r t y ,a_�t <br />f IS <br />7 ow .I E. <br />t'' C e I <br />D Wltt �c tiu-� <br />�U��• Y � ' JZuw o� �• <br />Licensee <br />L_ <br />l� <br />Connection made the. �L=day oi__ 7��<<�_ 19 �' C. Examined and Approved by �r <br />i City Engineer <br />� Supt. of Streets and Sewers By____—__. �""� // � �"' <br />L <br />By Inspector 117G4 <br />.0!M8Pi un . «uau. ro . <br />