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THE :ITY OF EVER� rT <br />Date_:.1 <br />Skelch of Propoaed Sewer Connection tur Building ilualed on Lot__ _._ -'�" �.-. �----� �= Block-_ <br />Divieion or Additio�_�c_-��-�_r-] a� �1� _�-y -_ ---- <br />No. —�'�. <br />—Owned by_ 1•;.:-.�L� _ Ti�r �=_ — <br />_ _ _ __ _ __ _ _— - _ _ Licensee <br />Application and Connecflon by_�:. ' ° " ° — - — ---- <br />Rem�lce:_—•='----- � � _� 1-_;% i', �-� ------- - — __ <br />i`eNiL ol S��ve� at Comsctlan � <br />'i �' I- <br />�� �i 7 � I � <br />�.���,� � �-/� �-- -� I� <br />Conneclion made lhe_ _ /� �day of_ _�" -- �'-�~-� ---19_�! . Examined and Approved by_ .. ---- - -�,.Y�=-�-e�qine�� <br />I� - <br />_ Supt. ol Strecte and Sewece By__. -t1.us. �-� '• '� � <br />BY_ _ ___ _ _ _ - Inepector �3(�1�'� ---- <br />