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i <br />THE �ITY OF' EVER�. fT <br />��,,-- <br />Skelch of Proposed Sewer Connection for Building Situated on Lot__. ____. ____'_' ___— Block_ __ �l"' <br />� ' / <br />Division or AddiGon -- ---- r--' -- --` - — <br />No.— -- ---- � � � ''� _—Owned by- --f /`� � i <br />Application and Connection by__ <br />/. <br />Remvrka:__ . �t�_ �_ _ <br />Deplh of S��ver at Comecllon I <br />�IX �� <br />�� �x -{ -�,-�" • .-�c: � <br />,._ <br />i / ,n--- --- -- — -- __ Licensee <br />—` - -- %-�--.i � — — <br />I I � <br />I / I� - �_;...,.; ,� _ <br />, <br />.,�i�A- _l.�fc:.a:- 3t� t;._t �� . <br />�1�1t� .:�.�.� (. _._. --, V) <br />. <br />h�i�1VJC V'��(�(I� <br />'�11'� n,r'f�J�� �l• <br />�r^i 4-` y /' <br />! <br />� " >r.,�:•,� <br />r� <br />_ I �i✓' R.,• I <br />� I � <br />Connection made the. _ � � ___day o!_—_ \k << e-��__ __ ___19 S (' . Examined and Approved by_ -�_:_.�-"__ !+ '' • — <br />� � � r_ � . cfty�t�ln�� <br />� <br />�`'� � -'�'�±��—._-.—.Supt. ol Slteele and Seweu Hy____ — __—�. � � 'r1 <br />} � <br />g9— '`-� �' �_�,�' ---._ _InepMoc ! G9G9 <br />; ,C'�x... ...� ...u�, ao <br />