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THL CITY OF EVER._TT <br />Daterp' Ile , <br />Sketch of Proposed Sewer Connection/for Building Situated on Lot _S_ 20 Block�Q <br />Division or Addition <br />No.---`:°r•^t'T / Owned by <br />Application and Connection bLicensee <br />Rn,..n.Lc• Nita le'/qg <br />Depth of Sower at Connection I /;�: .v { / , c -f <br />it•y# <br />Connection •.nade the_ _,cs_._day of <br />19 F}L. Examined and Approved by_ (' <br />�r City Engineer <br />Supt. of Streets and Sewers By— ._ zr F/f"!(i rA <br />y� <br />Inspector ' r� <br />1JCJ <br />