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L� <br />THE CiTY OF EVEREI C <br />Dateq)j /t <br />Sketch of Proposed Sewers Connection for Building Situated on LoL3 ": 3 - —_-_ <br />Division or Addition_ —Block Z _ Al <br />_._� -- --Owned by <br />No._��—� ---- <br />Application and Connection by - -- _-- --- <br />Remarks:- <br />Depth of Sewer at Connection <br />9 <br />\� b>/ <br />\ �M �5 <br />Connection made the .--- _ .day of_—.—____-_19 Examined <br />h t <br />f <br />I <br />f <br />w <br />q� <br />Supt. of Streets (amend •Saawere <br />By - --_ ---- __-.._ _ '!. "_-.—_-----.Inspector 2GG (2 <br />0 <br />City Engineer <br />