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P <br />THE CITY O�' FVI�R.ETT <br />- . <br />8ketch of Proposed Sewer Connect;on for Building Situated an Lnt______________.______________ Block_____ <br />Division or Addition--------=------------------------------=..-----------------------,--I------- <br />No.------------------------------=-------`-------------------Owned by ------------"------=---------------`--------- — <br />Application and conneoticn by------------ --------------- ----- •. ----------------------------------- Licensee <br />-------------- <br />Remarks ---------------------------- <br />------------------------ ------------------------- ---------------------- — — ---- <br />— Depth of Bewer at Connection � � j I I � � <br />1��! <br />� ,' �. ���:' <br />9p �% � 1 I I I � <br />Conaection made the_�S.(1__day of____' �/��- __ 191s .^ Exnmined nnd approved by______________ � <br />,(p�/. � . . �,; . --------- City Engineer - <br />--- <br />�.(� �. /�� i /o�i/� --- �. _Supt. of Streets and Sewers 069a�` -----� --------=------------------- -- <br />("`"Y__`-- --�"-�;------ - — , <br />/ � <br />By--�_��1_CiFy1�-`�t -�=4----------Inspector -- ------------------- ----------- <br />