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THE GI'1'��" Ot� ��'LRETT <br />$ketcli of Proposed Sewer Connection tor Building SiLuated on I,et_____ ___"_"--_-------- Block___i_ 2__1________------ <br />, , :- �, _ <br />Division or Addition------�-=_=-------- ------`------------------------------------------- <br />'� �n.r ----------- <br />i <br />� �- !�-- - - � - c � -----------Owned b ------ -`"".� <br />_ V�1-4.=-_= =^-'--=-- Y --- --� -------- <br />' -------------------- - <br />No. ------- — ----- <br />� �_�_d_t_,_._._,..� ---------------------- Li^.ensee <br />Application and Connection by----- �-- ----�------�--- ------------------- <br />Remarks------------------------------ <br />Depth of Sewer at Connection � <br />1 ' <br />� <br />------------ <br />I I <br />�,_L�_��: <. , . o_-�-� . I A <br />�1,'? ,� _ --- 1'�_ <br />,� <br />� �� I _.� <br />� <br />� <br />_ c ` - - -- — �- <br />q � ��q/ � . �� � . � �,��. � ��_- � <br />Connectionmadethe_PS.._ dayof___._1'_�c_____191.Y Exammed and Approved bq___� 1==_____ �_ ' __--- ---.- <br />-- <br />, <br />_�1___ c�-L_�____ Supt. of Streets nnd Sewers p613'7 CityEngineer. <br />---- - - - � <br />, � ' �% n �_ _'r . <br />� �?^'t�`� 1iti'-_��--� -- Inspector. 7- —'�(���.�,-�--� ------------- --- <br />3'--- ----,� <br />l--- -- ------- — --- - -- ---- <br />� <br />