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Titivi uL t' Y OF-EVERIL,k , <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___14 - ________._._______ Block _ _<_ __________________ <br />- r m r - - - --- - <br />Division or Additlo ___-____ _ i_ J______________ __- '_____.._--__ <br />No..3_57�--------" = -=oLw-------- --Owned U --------------------- <br />1 = -(- .mac IN i� <br />Application and Connection by______________________ �__________-_____---_---____-- <br />_ Licensee <br />Remarks------------------------------------------------ ----------------------------- <br />Depth of Sewer at Connection <br />i 1 � <br />i i I <br />1 � <br />Connection made the_._ __day of___ 1 `______]J1..}_ Examined and Approved Uy______---- __Y __________:_ ✓ _____ <br />Al!-- �� __-_Supt. of Streets and Sewers y Engineer. <br />_____ _ m-�.•._>'L_______- �sG`�.j City En neer. <br />By--- " `=- t--Y �U_---Inspector. By- , .------- — - -------------------------------------- <br />U / <br />