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TI�E CITY OF �V �'.R�'iT <br />--- � �;'�. L:' <br />Skcich o( Proposed Sewer Connection for Building Siwated on Lot—_ ";— —.— Block _- <br />Di��ision or Addition----- --_— - -- <br />— , <br />, . , <br />, /" � .. � %j -! � . �� �, • ���T•.l <br />No.=-- --=---- -=--'-=---Owned Uy '--- - __ -._ _- -- - <br />Application and connection by _ —. -Licensec <br />Remarks - -. -- — <br />Depth of Scwer at Connection � � � � <br />�� , . � <br />— --- — ---- - -- -�- .--- — - <br />- - I <br />I � �� <br />- � --------- - -- ------- I <br />I I � I i.'I��l � <br />' � C: , � <br />i, ' <br />i � �� Y �N�m��,��; <br />� l . ��� <br />_ ' __�— <br />I � <br />.�'�� ;�� �� <br />�--- ---- - - �,-- --�- <br />� � I � <br />Connection made the-- day o( - 190 Examincd and approved by <br />�2�1a City Engincer <br />_i�- - _ __ - _ _ _ __ ___Supt. of Svicets and Sewers. By__ <br />- - ; �; <br />, -, <br />QY- ' " =- -- - — --- -In:pector. --- <br />