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THE CI'i'Y OF EVLRE7'T � <br />_ <br />Sketch of Proposed Bewer Connection far Buildin,q Situated on Lot____ _c_______.__.________ Block______ -_�_______________ <br />Division or Addition---t=------'_----- :-_t �--'--- /--- t(' <br />-----------`-------------------- ------------------ <br />-- • ! <br />— , � : : " 'I ---- ---Owned b ,_ �------`=--`-- �, . <br />No. ----f------------------------� ------- ,Y-� S' --'='---- -"`--=^`------- <br />Application and Connection Uy--!_i-------------- '-:.�'--_'_---s_'L--------------------------..------------------ Licenaee <br />Remarks ------------------------------------------- <br />Depth of Sewer at Connec6ion � I I �r <br />__ _. .. �� ;l} � � �� � ( r,���._ , �4,.,, ---- - �-- <br />, � I <br />i( "_ � <br />' }' ... i�ll .. I, <br />ConnecLion m�,de tUe <br />_ _ ._ _ �_ �.., <br />-1 , I I <br />—,�---dayof---`---`--.-- -191..1 Examined a:�d 9pprovecl b;�._ _.--'----.'__-------- ,�`l t <br />_______ ____ __ ___ i _ __ . __Supt. of Slrects and Sewers Q�28o �t CiLy En�neer. ` <br />; , t — : , i <br />$Y —�_ - -- -- -�--_Inspector. By_ P�--- �-'� --�- lt!,ir� <br />- -- _ _ -- .p� <br />� ; . i , / : /.%'. . `9 <br />__ , _ - <br />— -- --- --- — — - <br />;"�l <br />