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THE �_,ITY OF EVF_RE'. T � <br />Date <br />Sketch of Proposed SewerConnectionfor Building Situated on Lots ^_. Block— _ <br />Division or Add:•.ion— -��`�X / I`- ' Ac <br />No.-- _ — — —Owned by..--- ----------- — <br />Application and Connection by _--____licensee <br />Remarks:_Ooi."-- <br />Depth of Sewer al scum I <br />P� I <br />Connection made the J_-_-day of_— 19 tO �. Examined and Approved by /`• U �/�H <br />L City 'uglneer <br />Supt. of Streets and Sewers By G <br />By-- - - ,-- - lespeetor 2258 1. - -- <br />