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_ THE C'TY OF E'VERE� .— `Dae �,,�;,,, f,�" i9d�.. <br />_ ii . �, <br />3kelch of Pzoposed Sewer Connection tor Building Situaled on Lot ��� __ _- __ — Block_ �.r_' <br />�� - - <br />D:vision or Additio _ /.r"� �s��' --- /���T_ -- <br />_} r� - � . ' �C..J- <br />� /� .. . ,�. 3� . �,��.- - - - <br />No.--- • -�~-3° {'��f �in�!!� . /��C`'� -- - Owned by = C� _ .' - � <br />� "� <br />Applicaflon and Con echon byT � � / �l(i f�,?t'ri , � { �� _ _ �� _ _ .Licensee ! <br />�l..�C'..ifif `��... � _.y,�,. � ��f t^f`-� !%/ �ty ./-C,{'' 'f�/� �� 4� <br />Remmke:_ ____U// -- -- -ic � / ��y ri _ <br />Dept6 0l Sawo� al Connaclton I I I � <br />�:,-�l,jiL/; <br />�� �i.��.'..�i <br />`11 <br />- I _'-- . '�_.y� , . I-_ <br />' H � C�y' �- v I �` I <br />� i,��j+ � �"��'��`�t_. ', r `r.` <br />Conaec6on mado the -�_' day oi --_._19-_. Examined and Approved by____ <br />s- i (/ 1 <br />�-'1— � % J) City Enqinee� <br />. .. :'. � . —is� <br />— )� / I �_'. "_t� Supt. ol Streele and Sewen Hy _.__. N�� <br />_ i /-' ` _ <br />:� <br />y __ � �__--_L__' _—__ Inspotlor — <br />BY-- - --- --, 1G258 -- <br />,�.. ..,, . ..,.�. . <br />