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TI�[E CTTY OIi� �'V]Ci FTT <br />Slcetch of Proposed Sewer Conneet:on for Building Situated on Lat____.._______'1' i' "'" <br />,�, -- ---------. sio�k---�='--1---------------- <br />-- <br />ivision or Additian_______________________ <br />- _ �r-- --- --- -------------------------------------------------- <br />/ ------ <br />-- - ----- <br />No.---------------------(-I-L-L--- 3� -=-----Ownedby--��-``'j,-�--'�-�'l--'''-=-`��- <br />, ,� , � <br />---------------- -- <br />--------------------- <br />.� <br />Applicntion nnd connection by_____ �__;�___I__ _r' �, <br />---------- ------------- _ Licensee <br />------------------------------------------- <br />R,ercu•Ics ----------------------- <br />--------------------- --- <br />----------------- <br />--------------- - <br />--------------- --- <br />epth of Se�•+er at Connection � I ` I I � <br />� I <br />�. C:���' <br />,: <br />.,, � <br />Connection made the_ 1��_ �__aay of__ ���Ci_� _______ <br />, <br />�, n,E� <br />� , . . , ,, <br />, <br />i, � . <br />� (. ��=-:.=r:1. ; _ <br />� � -., <br />� <br />;� <br />� i; � <br />�� � ---li5r�� <br />191�':�.. Examined and npproved by__t',�-_. �-_� ���r <br />------------- .--- <br />--� <br />City En;ineer <br />---------------'----rc-----------Supt. oi Streets and Sewers BY --��- V'�.- <br />" -- --------------------- -- <br />BY—�----�� _��,ry..i'�- �----- ------ Inspector <br />�� <br />.{ . <br />lir�r <br />