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� �. THE CITY OF EVEREiT _ <br />' �- - ? v � S '� <br />• Skdc6 ot Propos , Sewer ,Connection for Building Situated on Lot y `' — Bloc4: <br />. —� �� ,� <br />Division or Addition— `�-�' �'�r � ""=�-�`� — - ---- , , <br />� �LL <br />No, a` � 6 �_�., e �a ��- Owped b _ � ` ' -=` �. � - = -._,..�' <br />—' / � <br />Application and Connection by _ l"�` !=-`="' " ' — -- "f '" Licensee <br />. i' <br />Remarks : <br />Depth o( Sewer at Conneclion <br />I <br />— �— <br />L- <br />i <br />� <br />o��ss ' <br />�,:,- <br />Connection made the ��`day o[ r'.� �-� ��`• 192.�.` Gxamined and Approved by <br />o( S�ree�s aud Sewers. <br />J ! �. _ <br />'f_� ' -•. • , IIIS (C�O�. <br />$p__ _. ��..C1�L_-- p <br />� <br />