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0 <br />THE CITY OF TTT�I�.TTT <br />Bketch of Proposed Sea•n.r Connection for Sitilding Situated on Lot_______________ _______ Block_ _______________________ <br />Divisionor Addition------------------------------------------------=----- ---------------------=------------ <br />No. --'- �------------------------=---------------------Owned by ------------------------=----�- <br />Applicatimi and Connection Uv---------------�-------------'-------------�------------------------------ Licensee <br />Remasks------------------------------------------------ - - -------- <br />Depth of Sewer at Connection I I � � <br />_.J <br />� <br />� �_�_ i � <br />_ _- ' _ <br />� i li <br />_�. � .i ti i.�( : � � . � . <br />� i" � <br />� <br />/ <br />1 r? � `f, � � � � I ,' <br />Connectionma.dethe__!_�__dayof__l���_'.L�______1�J1;__ Examined and Approved by__ ._.____________________ ____ <br />______________.� �_�._�__�__c:__:_.__C______Supt. of Streets and Sewers Q��`�� City 3ngincer. <br />� ; - <br />By--------------�----�--�---.__Inspector. BY- ---------- -------------__. --- <br />