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l��i� crr� ��li, E������T <br />Sketcli of Proposed Sewer Connect;on for Building Sitaated on Lot ___________________ Block_____________:-________ _____ <br />Aivision or Additimi-------------------------------- ---- ---- ---------------------------------------------- <br />n . -1 <br />No.---�`�-`—�--(-+�------�-�-\1 �= � -----------OwnedUy----------------=---------=-------------------_ . <br />Application and cannectimi by---------,�------------------.----- --------- Licensee <br />----------- ------------------------------- <br />R.emarks ------`------------------------------- ------ ------------------- - ------------------ -- -- <br />Depth of Sewcr at Conne:tion � � I I I <br />!_ <br />� <br />.— . . <br />� —I- <br />— � I <br />�,,/ � I I I I <br />Conneclion made tlie__f � U v�` ___ 1915_.. E;xnminedandn ioveciU ______ ___ _______ <br />-- dny oF _ . . �.(�_ PP' Y - - - <br />�� �-� 1� -����"� __Sn t. of SLrcets and Sewers ' S � eei <br />Cit � EnRin • <br />- - - n � 1 U�Y' i. <br />�y L'`t � � . /�st ���f �LQ-- Inspector _ _ _ _ <br />