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y�� ' r . ___ " .�..--_-,��,y„ <br /> �� TH � CITY C�F EV�R�TT ,-: - _ •l � <br /> � Date!;- �� ` ?—! ��y` <br /> � • '- -- <br /> Slcetch of Ptoposed Scwer Con�ection for Building Simatcd or. Lot— " plock � 32"d I � ' �' " �o L' <br /> -� � .i . , <br /> I Division or Addition �'/"�' +.. %L'�,i—__��'� %'��'' — <br /> �� No. , .S/ � i'I' - , ', y:^ Owned by---� � „—_' <br /> � ' ,..';_. . . � �r� �� <br /> � : � , 7; � ' � � C/� /Y!^/� <br /> Z Applicadon and Conncccion by � �f"'� �� -� �' ' ' 'G Licensee <br /> Remarks: <br /> ` Depth of Scwa at ConnecNon I <br /> ; J I I � <br /> _ � � i :j � <br /> - rn_ _ ;-�<<" ' = �"' ' — <br /> ; ; :. I ---- I <br /> , <br /> , ;y�, ; <br /> � , <br /> � <br /> f jjr�n✓ ,_ ;:'.. • ;� - ' - � - , <br /> "-, <br /> � r ,�� ,; . ' ,' — <br /> / � <br /> a- '-'� G�' -�,I, �1X, <br /> � / � i�: ' I <br /> �' � • <br /> , ��. <br /> � . in I � � �o <br /> �� <br /> � I ; <br /> ; � � <br /> � � <br /> �� �� � � --- , <br /> �� � �>�''� . �T �I <br /> > � � � <br /> � <br /> � Connection made the— day of_— _ - __ _19_—. L�amined and Approvcd Uy_ ' �f_�,�.L - <br /> � �/ /f c�>r.�:��n, <br /> __ Supt.o(Stteecs nnd Scu�crs Op . . /�L����_'^��'f��v � r� <br /> � By —--- ---——- � ----Inspawr . . _ . . _ �� 1�G.b J-- <br /> � �zeooese.�v.�e.u�suev <br /> I <br /> • � <br /> .. �._t_ _ � � <br />