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1 <br />✓ <br />-- T�-1 E C. (TY O F EV ER E'► T' <br />Date3Fih�. Z � • / ! �_�' <br />Sketch of Proposed Sewer Connection tor Huildinq Situated on LoL_- _ �--- -- --_ Blork_ .___ -- -- <br />L`ivi�ion or Additir,n_ �-�� � f: °� a'.: t'ES J� � ✓ �1_ . -- . - _ --_ - — —_ _. _--- — - -- <br />tdn.—�` /�'r"----Ul._ �l. �—F '�, —_ —Owned by_ T//r/a�3_ 1 i LA_'r -- — - <br />.� _ �. • <br />Application and Connection by /�� •• 1: •:1! ! _ __ ____ __ ______ Licensee <br />- --. <br />o - <br />Remarka:� � _ - s _� / / [� _ _ _ _ _ _ <br />Dnplh ol Saaor al Connetllon � � � �—_ <br />_ � , � <br />�„ '�0'U-Y�-i.Cl�o".'�' � � � � _ i i i - � /_�l—_'— _--__ <br />� _ _ _ <br />0 � U�La t �,u�«.G{ �-+�- -- <br />�n.de.,5.c,� — �.� %cQe,�� *� <br />Q,u,��-+--c'� • � <br />�,, �. �J. ^ e+�cu�'c, �,,�_� � <br />� (,j% E� T v� E tn/ D P,.�— <br />�.A,6O, � .�i1.Yc�e_e_ (�-4u-w � �� <br />i <br />� � � <br />Connection made the. b� _ _ _ _day oE _� ��-��y _ ._ 19 �� . Sxamined and Approved by./f� i--- ^ � ��.�� � �`'� - - . <br />��j/ �a/]�. %� ✓� �i-�, ,/,( /�� Cily Engincer <br />_ __ _ /�-"C-'k•(,: . /'.s't, "`Lt. - - Supl. ol Slreele ond Sewen . gy- ..•r= 4�"�j� li �! � t�'�—c/ -- <br />Y -" <br />���U � /� ,. �. <br />DY . �' � �:.!6�'.�, . Inxpeclm ��..1 Y� . __ ._ _ _ _.. -- .- . _ _--___ _ _ _ <br />