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THE �.1TY OF EVERE'� T DQ�O ,/, ;,- -_ _- <br />� � _ _ Block �-G — - <br />�kelch of Proposed Sewer Conn¢clio�.i !or Building Situated on Lol - <br />n/ n_ �}- <br />. . ! L�^,V' _ WC�'fi'�. _/lu. � -- - � - --- -� -- -- -=-F_ - — - - <br />Division oz Addiuoc� 1 <br />�' 1� �u.t�t� <br />No._. _ �ry <br />:a / L' � /�G..' � /��'V -�u�' - ---Owned by ty`1�}t:..' � `- - --- <br />/ li'.._(,.. _. .----- . <br />Application and Connection by_— ---t-�� - <br />Aemarke:-( �/.� � �l �t-%'17t�� �l �'y J _ <br />Daplh al Saviet a� Ccmectlon I � <br />J <br />", c,c w�c�-r,...- <br />� .�,� i.,w�C.i._.• CL,� lU iLE <br />,/ , <br />l.�.i•�• '/-/Y �OuT' <br />L i if <br />:�-y � l.o ct /v Lh+�.i-- <br />��,u� . " �,La.v� . <br />__. _ Licensee <br />� �� � <br />Examined and Approved b/y_ !S/ ��- � 1; `-�1i�,se-������ <br />yY __��{����-�i.�`�F��-� — <br />V� : 0.ua._ •. _]9`" `� . . <br />Connection ade the �� _ _ _day ot ✓ `1 <br />4- (�/ <br />� �p ,(,� f ��t,-% . _. _ . . . . — Sup1. ol Strocls ond Sewcu <br />- - �,, `-'�-�,- -- <br />[1y L��•P�.i..t Inepecto� 21�J43 <br />� <br />/ <br />