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� <br />THE CI�'�' OIi' �V�R.ETT � <br />SlretcU of Proposed Sewer Connection For Bnildinn ^aitunted on I�ot____. .____________________ B]oct: __________ <br />---------- <br />Div,sion or Addition------------------------------------------------- <br />------------- — -- - — --------- --------------- — <br />. ,, <br />No. ,_�_t2__=a._------�q'-�`1r�=�----`----------Ownedby------------------------=-�------------------ <br />Applicatian and Comicction Up--------------------- --------------------------------------------------- Licensee <br />Remarlcs -------- ------------------'--- - ----------- <br />- ------- ------ <br />Depth of Sewer nt Connection I <br />I <br />� I f <br />. � „/� I � I <br />Connectionmadetlm.��:`.;._dn�of___ ��(� '4�G_____t9?..y Esamined �ui3 Approved 6f� _ <br />� .. _._..- --.._. �------ <br />� - ......._ <br />-----;-� -� �//' -=L- ��_ -� _'t ____Supt. of Strcet and Sewers <br />(� Ej Q � % City Evgincer. <br />/ <br />i � �j � � <br />By--'--'= =��r%--��i°u`-"�`-�--=`;�>:_Inspretor. BS- ---- <br />� --------.. ..----------- --- <br />1..� (� ---- <br />