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THE CITY OF EVEREI <br />Date - <br />Sketch of proposed Sewer Connection for Building Situated on Lot_. <br />Division or Addition_ �w_.{Alock <br />Application and Connection <br />Remarks:_____ <br />Depth of Sewer at Connection <br />t <br />edb�_�/_/Yd. <br />1,04�0" Rec. #. <br />Connection made the. _j —day of__._ °+� _19_. Examined and Approved byA�— <br />L '� .i CI Wineee <br />r <br />Supt. of Slrocle and Sawere By, <br />By .. ____.—.—_t"_-___]._ ._.__Inspector 28301 -- - <br />