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C <br />THE'�ITY OF EVER�""�'T <br />nate �f�i.!��.i ;_ <br />Skatch of Prcpoaed Sewer Connec'on for Buildinq Situated on LoL_�J_� `.� �•� ~ � <br />� Blocl� � /� <br />Uivieion or Addition � � /'I/ �; � /' �+' = � �!� 7� ' • ' ' <br />� � � /'/:.�a.'i <br />No. , ���'�� %'� ��`/�:'- /: f'�f..- Ownedby % 'li�4 /✓ �iir%� '�i_ <br />Appllcalion �d Connectlon by T �/� '` J� `•�' <br />• - — --- i'censee <br />Depth W S�wer nt Connactioa <br />0 <br />� <br />�! . I --- --- I <br />I ^� <br />^'r <br />_— � L � � Y �' / L...G �/ .'i�.li: <br />� <br />Connectlon made the—,�_day <br />--�/ _.Supl. of Streete and Sewer <br />�y . ' "�—��—�' --_Iaepectot <br />� <br />• is� ..{_/_♦ h_,�.�� City Eaglnee� <br />� By_._ �_ �Y /'10�f%'�. <br />u u� �.0 uu � �uao� n. �ean 1[] OO ( <br />s <br />