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7'HF GITY OF EVEIi.�TT <br />_ , � - <br />Sketch of Proposed Sewer Connection for Building Sitnated on Lot_____ �___'._______.__ ` <br />------ Block--='=-J-� --- ------ <br />.. ti ' ' <br />Divis�on or Adclition---- �-- �-1 `=�ss___�l_ ! - � . . �-' ' ' ti_'=-`- ' <br />� <br />-------- - --'--f=-= � --------------------------------------- <br />. , � y ----�-�------- --�-==--�N <br />- , , _ , <br />No. ---'--I= —=`------_=�- �-�-'-�-1 � S- -----------------Owned U -'=- -= ----------------- <br />: -' <br />Application and Conveotion Uy----=-_ �-t =" --.I--l--`3__� L'-, ='__'--zr `-L-------------------------------- Licensee <br />�! _� r-� <br />Remn.rks 1-�-----_-_'-�-�_ -- <br />Depth of Sewer at Connecticn � <br />' . t.. <br />� <br />lJ � .i <br />l � � <br />_ -�_ i U 1 � 7 I 1-1 _I : <br />— ---'=— -- — — <br />' �, �- i I,,,: I � <br />_ . ------- -- -- - -- - <br />I _ _ _ � I _ <br />Connectiomm�de e�__�?____da� ___.4�_________1�J1-lf Examined and A roved b�" �` �� �' ' I <br />� � , Y - PP Y-=---�-----�-- =---�------`_.----- <br />1_rC'����C� �z:i'u� =�G�___Supt. ot St�eets nnd Sewers �J�8�0 � � City Engineer. <br />.�f �,� � �� , �-- <br />y-( �- =- ---- t----�-,�-----------Inspector. 87—;-'.: -='�4�:_/_f���_-------- <br />_ _---- <br />� .� , <br />_ � , <br />.. .:; _ <br />