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0 <br />� <br />'1'HE GITY OF �VER.ET'r <br />--- <br />_-- � -------------- Block-----�---�-------------- <br />8ketch of Proposed &ewer Connection for Building Situuted on Lot_______ <br />Division or Additicn------------------------------------------------ <br />------------- <br />-------------------------------- <br />` ----Owned by ------------------------------------------------- <br />o. ----------- - <br />-------- <br />� --'-------------------------- <br />Application and Connection by___.._----i=.---=------- <br />Remnrks ------------------ <br />Depth of Sewer at Connection <br />� <br />------------- Licensee <br />------------------------------------ -------------- <br />I I <br />� <br />-- --- -- i <br />1_ <br />! <br />L� <br />--' -- �--1 - — <br />---/au or----- ------- I -----.. <br />� ____191� Examined and Approved by____--------- <br />Comie tionmade�thC�_� ,9 � �---- <br />' -�' •/��L t�/��___Supt. of Streets and Sewers OSS4� vityEngineer. <br />G —a��— , -- � -- <br />- ---------- <br />• ------ --- <br />------------ <br />�_� J�,.;�F �h �-----Inapector. B9----------- <br />BY-L-4- ----------- =--y------- <br />✓' <br />.- , ----- -- ----- <br />-----------;---'y-- <br />--- <br />