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THE CITY OF �VER�TT <br />Sketch of Proposed Sewer Connection for Building Siwated on Lot__ <br />llivision or Addition-- -- <br />No __ Owned by <br />Application and connection by -- <br />Remarks _ -- — - <br />De�th of Sewer at Connection <br />Bio�k__ <br />J I � � <br />� -- -- -- — _— -- �I <br />— — <br />; • �� , <br />-----------1=--�1Y <br />� � I � � <br />�� ; - .. <br />Connection madc the_.�t—day of �-'� f 190' Examined and approved by — - <br />� � �_ City Enginer.r <br />""�- f U171J <br />�:i C'' '' `� : : 't.�._:_`—Supt. of Streets and Sewers. BY ' — -- <br />` ��i � ..�.T'-.- F�" ` ` ;'�-- — —Inspector. <br />�Y / _�—._—.y ----- — <br />