Laserfiche WebLink
� <br /> 1 <br /> I <br /> �' <br /> �'H � CITY �F E\/ ER�T"f' - � - <br /> Date�-��� �� - <br /> r-'!. �i� � _� � �� �� -- <br /> Sketch of Pmposed Sewer Connection for llcilding Situated on Lot_._- - - - f- / � — - - -- <br /> t_ ,,,! •..�� . <br /> Division or Additio�_��A���T'�'=-- X�-���f�� --- /-�--��=' - _—IIlock - ' . <br /> . � <br /> ; No.__��-G—�Z. f� ����•_ �.—Ownedby r_.�-..� i✓j � �_ --- ---- <br /> � � <br /> r.-% <br /> : Application and Connection by__��-- ` -!- ----- --- - _ - / /J-.— � - i <br /> ' _< • ..�. - -Aec. #_ <br /> - _— __.L'_'.._ _ ____ `. ._. ._. . _ _—..—.—_ <br /> Rem� s:—_---------- — - <br /> . _ . _ . ____ ._ . <br /> : Dept6 of Sawor al Connacllos � I � � , <br /> ) � —_ <br /> ����( �:� �� �->in�t--ri-L� — — <br /> .i�- �:.�G-+`� �-� r�° 1`.'� � . �; - - <br /> � /4. <br /> �/ ` '' />c�i�`� i'n� . <br /> i, � <br /> r��� i, - ' � �' � i <br /> � ,I <br /> (_c nc �-�` l r i-<t �_ / fI - �t- . , � .� <br /> � I� <br /> I <br /> I <br /> � <br /> Connection Permit Fee $;' r'�, <br /> . . <br /> Connection Fae $��. I <br /> g �— —�— <br /> Total Fee $ � �2�Oa /.' � <br /> Connection made the. Z �/ day of -��jc-' Z __ - .191�. Examined and Apprcved by__,/%�L..:�_•1 � - <br /> - -- - - City Engincc+ <br /> . _ Sup1. ol Streets ond � By_._ ... _. ._. _--__ <br /> '�l'�--,t-��u^-�' - - __ _ ��� - <br /> BY � .� _ _ _ _ _ Inepottor <br /> / <br /> _ I <br />