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�" THE G 1"Y OF EVER�T <br />• , ,,. <br />Date '�` ' � `�* <br />Sketch of Proposed Sewer Connection !or Building Situated on Lot-- � _ ___ _ _ _. __ __ Block_ _ _ _ __ <br />Diviaion or Addilio�______�._�--!'-'`-.�=-'�i—r,l"--�--- --��`'Yt`r — — <br />,� <br />No._ �i �Z—i�1����—_ --------Owned by_. .tc�r� .. r.:_ .�. � `/��:, ., �: �=�-- -- <br />--- -- <br />Application and Connection by �`�' � �_h - � - _— ___ ___ _ _ __ _ Licensee <br />�, - --- - - <br />Item�ks:._ ��" °_�� � �� . f- �` � � ! ��/ <br />- -- ---- - - -- F; �,,./ �iQ� �-. �„� � �=F��,-<.:,,1 <br />Depth cl S��rer ut ConaecLLon � I � � <br />—__. I <br />: �., N eu.w � G � � •.,+�t,t <br />� �u P �. 3' ��- ����-. <br />y-�� �;� � e_s r�a-g-�:- �.,�.�:�. <br />���.��, t� �.��. �:,._ <br />,--� <br />i�s � �v <br />! . - <br />�. <br />�- <br />�b <br />-� }-- <br />J �j r— <br />c- I r/ / � I <br />Connection made the. � �-. __ _day ot _ �"�""`_"f_ _ __19b � , Examined and Approved by_ __r.��____. ._ <br />- City Englneet <br />--' -- - (-j � ' - - -- -. Supt. oi Slreete end Sawen By_.. �_' _ _'_ __ <br />1` <br />� ` /� <br />HY- . .- �-CJ �i6lc�._. Inepoclor 4��[3� <br />