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TI3E CITX OF EVER.ET'1' <br />S!:etch of Proposed Sewer Connection for Building Situated on Lot_______L___ ____________ Block__________�_______.______ <br />/ <br />Dir,sion or Addrtim�-----------------------------�---f- -------=------ <br />------------- -------------- <br />No. ---- � ----------------------------------------------Owned by --- �-----1-=---'-=- : <br />Application and Connection Uy------�`---`------------------------------------------------------------------- Licensee <br />Remarks ---------------------------------- <br />Depth of Sewer ut Conneclion I I I � <br />J <br />� �;� /' i. � , � ��;' � f � <br />Connectionmadett�e_�_�__dnyof__J:�%�;�__ �._____191:�_ Examined and Approved by____ __ <br />i - --- - -- <br />—'-- <br />__---- � ,� J ��i! 1G� __ ___Snpt, ot Strcets and Sewers Cit En <br />,v �I_ -. i% QE�i�� Y Kineer. <br />�B 1 't..11 ' `e_�i�s � ------Inspector. By_ ..- -- ' ---- ----- " <br />; � 7------ - .. --.. - <br />