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Tt-iE CITY OF EVEI�E`i'T <br />Sl�e(ch of Proposed Sewer Connecfion for Building Si6rated on Lo! ___ 2- :- Blocl� 7- %� <br />Di++ieierror Addilion _ .-� ;"`'� ,i:'n�J ' <br />/ � ���� — .i <br />No. _� '�.? 2� �-�, q�,,,,.�� --- Onv�ed 6� �<' . ��i -C/J�t.,,wv� �_ .�' �/ <br />� . — � - <br />.f�FPlicafion and Connec(rcn bv _- _ ��-_ _ �-�-e�!r�y'�1,,,� --- _ Licensee <br />Remorks_. __ _ <br />Depfh of Scrc�cr ut Connection i <br />� <br />I � <br />j ( t� ; �---`_� ��i.,, <br />� --� <br />� - _ ---- —�— <br />I <br />/�=''.r v�.---�-�'- <br />I / I <br />� <br />�y „ <br />--19/I Cz•amincd and APPr�oed b,y--�J` ��i��'v"�/�- <br />of Slree(s G Seu�crs. U3Q18� �// Cily �ngineer <br />I <br />Conne hon ade l e__�__day oj _�_ <br />(/ �U " 7/��' - � _Sup�. <br />�% `� ��r '� <br />B _ � v/ - <br />Inspec(or <br />�; _ `-.',',�j By---.{�-,� -� ��"��� ;r� > � � • <br />