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THE CI�'Y OF EVIERE�'T <br />Skcich of Proposed 5c�vcr Connection for [3uilding Siluated on Lol�--_,. _ . <br />�Li (;lock__._,----- <br />Division or Addition__�_�__'_� • '' . .. /. -- <br />C'=i---=-��---'� — �i '—�� l _ <br />No._ -� ' -� _, i : i ,.; -,.,;1 • -j . - , - -- <br />Owned by_ � ! J � � „l�� _ <br />Applicalion and Connection by�� < ___ � — ---- <br />t•" � ,.�. <br />� Licensee <br />Remarks:. �,"`t �-- <br />Depth of Sewer at Connection � I - _—_____ _ <br />�_ ! �L��— � � � <br />i..,. � ;t _1�,��•i 'i�,;,+;� I -- � ---'�-�--:J_------ - - - --I— <br />(�� f.r.l , -"i i:.. �. ..._ i� , � � <br />�t-`'��-t ,�. <br />�t- _,�-�q-ct.)-�J I_ <br />� � �,� � ;1 <br />'.`�-tLt1 .�C.�.t/ � r � i' . �' . . <br />'—i' ` �.1 � ,.' , . �� . <br />� � � � <br />�n�`'`1 .J --GA.%t�<.y -- � I IM <br />i.i r �. ,1. I --- — -- —__ ---�!i=-C. h' <br />^I .�'<.�,�.1(,u2,,�,i,��� i - <br />� � , �� � <br />�f �., � r. , <br />_ ,. <br />� �, <br />, �.� .� <br />, .� , <br />:� <br />I . <br />Connection made the l� ._dayof i� .. I � � <br />--� 191 7 Exa�nined and Approved by /.I .-. • _I l (.�. . � ,_ % <br />'�-- -- — — �7p <br />_ _ _ _ . _. _- . _ —. _. . _. ---._ ___._.Supt. of Streels and Sewerso / O O r: . ..� � , . �Cilq Cngi�yFer. <br />; �- � � By... _ .�...'..:,___ �..,_..:.._: _. - <br />ey__ - . =_. � _ __ _ <br />__. __.--. - � ------ -�---. Jnspcctor �-- i/ <br />__-' _- <br />-- � / ! . .., - <br />.,w.,y�4.��.,�, - - -- 1 -_ .._.. - , - -�-- <br />