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'� <br />� <br />THE t�I'l�'Y 6�F <br />Skcich o( Prnposed Sewer Conn�ction for Building Si;ualed on Lot___ <br />Division or Addition�__ _ _ _ <br />EVER��rT <br />Block <br />S� — -- <br />No.— _ ?_1�1_-3— ' ' " • ' ; ..-c: --Owned by_ _ - — <br />--- _-- -' " <br />Application and connection � <br />Remarks__ _ <br />Dcpth of Sea�er at Connection <br />J <br />, �� <br />, <br />r � <br />I ' �� <br />� <br />; f' �, <br />l <br />� � 4 <br />. t <br />�. p} <br />j 1 <br />� �y <br />�. <br />� <br />� <br />�—� i I_ I <br />-;- <br />U <br />� <br />I <br />I <br />_� �-----� i � I_ <br />Conncclion made �hel�day o(_ _S _� 19�"� Examined and appro��ed by—_ _____ '� <br />---�--`✓ /`-/ ( � l._Sup�. o( Strccls and Sewcrs. B,_ Gty, Enginecc <br />U.3��� > --'--. <br />�Y-� L� ., _ i �. �! f,.-�. _.Inspector. - - � - -� , _ . . J . — -- <br />