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T�IE GITY OF �,VER.��T <br />-- _ ------- E,00k- - �------------------ <br />Bketch of Proposed Se�.ver Connection for Euilding Situated on I.ot__--_-- �----- <br />� - ------------------------- <br />Division or Addition.-------='-------------------- --------'---'��--------------- <br />.. - _, <br />-- <br />No. ------------ <br />--'--------- --------=-=_-- <br />--- - -------Owned b!r ----�-- -------`--------------------- <br />-- <br />� ,- ------------------------------------------ Licensec <br />Application and Connection by_______'---------------------------- <br />, I � , ' , + . -- ------------------- <br />Remarks i _..: --------------- ------- <br />--------- --------------- -- <br />Depth of Sewer at Connxctioa � _ J � <br />— — I I - <br />- - _ , _ _ ---� <br />� . <br />I ' - <br />._ - -,-- <br />. � . �. . _ � <br />! . � I_ � <br />� � I `_ Ea4minmi nnd Approved b� ..� � � .. . .--�-----�- ----- <br />Connection made the_ .�-_ _day of---- -L' C------��1 �/- <br />--��--��-�--- <br />, � • <br />/��j µ'��_ _______Supt. of Streets and 8 ewers Q fi 2.j City Engiueer. <br />----- -��/-."i----- - <br />r1.�4'-rti:c:- �.+r,'-�°'`'- �-- Inspector. B9- - - <br />�_.______i _ _ ___..-.____ <br />�s'— � 1 l/ <br />