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THE C.'�TY qF EVEREI'i0""' '�v <br />Date `V�9�_ <br />Sketch of Propoaed Sewer Connection tor Huilding Situated on Lot_ ___�SO-_ ___ __ __ Hlock_ __'-- ____ <br />Diviaion or Additio -_��/1�t1`'?_��__ ___-__ <br />+}—?)— - -� —,{�----- <br />No._ 6,$�0< 0 �� _��'._ _ .-Ow•ned by- -_/L(__E±/�O -!C_1�.�� — _. _ - _ -- <br />Applicction and Connecfion by �'-A�.l�'�.='�- _ <br />Rem�ke:�"'f1--r-�`�'1�'�'"�-`-��/ D� ----- <br />Dept6 0l S��vs� at Connecllon � <br />� � <br />--_------ -__ __--- -- - Licensee <br />� �.b-U.i.-a,t_�t P-�i-�--�.r �+-{� <br />v <br />��].�.L,,. �:-t�L.:_. l�'..:_�..._. <br />•' ��� � � <br />�,�il- LN.�L.}-lu.'� .0 <br />� <br />Connection made the. �'� �_�1ay/of_ _. <br />_ _ -- ���y`���-�- ��' _ <br />L'I�..u�- <br />J3 a'i�'� r: ��ti� <br />� <br />"` � ___19._�'_L: Examined and Approved 6y_ _l�, y•����J1L--_ <br />— � ( Clty Enqineer <br />,J ;, <br />_ Supl. ol Streela ond Sewen By_ ._ _ 1�.5� �5,� �!.�— <br />201�8• <br />By_._. . _l._ � . . ^-y.. _----__ _ _ Inepatlor .. <br />