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� THE'�'.'ITY OF EVER�"i^T Da�e ,.�, � = <br />r <br />(o I � /.i i/. !, - • <br />Sketch of Proposed Sewer Connection [or Building Siluated on LoL .- -- - <br />- - -- Block- - - - - — ----� <br />r:.. . ,�.. .. --------� - <br />Division or Addilio�__'•—'--- ---- - <br />� �- --Owned by. _ _ r ��� � ,s r r '-`--- ---- <br />' 7 �.: . .: <br />. ,_ _ <br />No.-. -- -- <br />( �. � ,'.:: i��. �-, ------ -------. - Licensee <br />Application and ConnecGon by_ - <br />------ -- - -- -- - - <br />� � - - ---- ------- <br />Aemarke:�f_---------------- - -- <br />Deplh ol S�ae� e� Cannecllon �� ,��_ —� � <br />. � <br />4-�� �A'Lt�k.LXI.Lr- � �01' �Q,f,l'UM.�4..[.✓- <br />(y,} ,�,o.�:(C�.c�--�+.-�.�-�t{ C.�.;.n. 4'6i� <br />�' eti`- �w� ��1- 4.a.�--�- <br />U <br />1�,� � �, 2� {l�a'-x- <br />`N-"`�'� °t'� `� S <br />Q't1�1.¢_. 'f"m .�.E=u� (Q.la.....�. <br />�� `Il.�'%� P_w.ihl.��, Q...CIt..�. �ti�'lu�. <br />a•d••— <br />I <br />� �� � �� �� � <br />� <br />� � � � � <br />J ' I �. <br />Connection made the.���--daY o�- - ��41- - -19� �-• Examined and Approved by_ ---=----c.iy enq�n��� <br />� ( <br />}��� � ��.H{.* _ Sup1. ol Strocl�i and Sewen BY- - ---- �-�.. <br />ti._ _ ._ _ _ . � �� <br />- --+�"'-`�- 1 o c� �2 . <br />�l��C... �L.U.(.4G-t� .. _. Inepoticc --____—_-'— _ <br />pY- __ .. _ _ . <br />