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cr' THE C.i-T'Y OF EVEREI f <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot —. Block---. <br />Division or Addition_ _ Y /41 &- <br />�/._ .✓�' �r.. r Owned by_ <br />.i.1 t% f -7w4+"r * I/98R -_ _ .. Licensee <br />1. <br />Application and Connection by-. � — <br />Remarks:_ <br />Depth of Sewer at COmeCtlon I <br />.. Tl oC <br />i <br />1 <br />jF <br />t <br />44 <br />L <br />Connection made the. day of_��t 19 0 . Examined and Approved by_ t v CI I eng, eer <br />Supt. of Streets and 21951 <br />�BowerrssBy----- <br />Inspector 21 J 51 <br />By--- -.— t_--. _. _.--_—_.. <br />