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THE�"Y OF EVER�.�, ,, ; - � <br />Date �L{�Li' <br />Sketch oE Propoaed Sewer Coanection !or Building Situated on LoL__ __ _ __/_. __ __, __ B�ock__ __ ___!Z <br />Division or Additiou_____.�'�!/E�{�- `� _�_ i�t-/� ��/�CrS V/✓ 1� <br />� --- <br />No.— f��'—�LE_ �_ � <br />C�!%htiy— _ —Owne3 by_ }�.--_ v _ (�fKG�$O /�--. _ - <br />— -- <br />Appllcation cnd Connection by_�t'% �• .1 __ <br />---------- -- - -- - - _. --- - Licensee <br />Remm�ks:----- �—`�-C��A/,--� �_�'S� 6 D _ <br />Depth ol S��var at Connectlon <br />-� � � 5,,��� , .J , !� <br />�{-" ��,�.. � � " �..y� �it <br />�l w p ,c �.�/ ' ,lst.�,� ,a�,�,,,�.4 <br />y-" Q }� c�s c'-�-�. ,�- <br />,rtcu��� n� �o+u� � <br />�.,e+u-L. d,�.a..,�.. � ��� b� c 4 <br />v1( Co F.cu«. .,�(..�,,��-�r����-�-�. <br />(� A70tcy <br />J��.��*r_._,� <br />�t <br />,�,.u,_.,, - � <br />�� <br />�/ /}�������� � <br />Connection made tho. �-/ �' . day of _.^^�`-�?'"-$'-�- __19�� . Examined and Approved by_ �� V����/� <br />/%/e-Ly��i__� C!ty Engineet <br />' - —' - ' -- - - - Supt. ol Slrectc and Sowe�s B _ � <br />�t �..� _� Y — � �itc� <br />-- . / � � .��� � 7 . Inepoctot <br />BY _ - <br />29'753 -- -- - <br />