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THF CITY OF EVER�" i'T <br />Skctch of Proposed Sewer i,onncction for Building Simated on Lot____�? �-�_� _ <br />Diwision o�Addicion T�'�-t�/l✓ ! �,,.� /�' ' !_ /_ <br />� <br />Application and Connection <br />Remarks: <br />Dcpch of Scwcr ac Cunncc[ion <br />Ot��ned <br />Date t! ;oV'f 2/ /');.5� <br />� <br />I------ --- ----- <br />� �! <br />� <br />—Licensee <br />� <br />� <br />Connection made thc___�� J' day of_��i��u,:;�. 19� • <br />, ' �. <br />�� j � �r---T-- Sup[. oC Sercets nnd Scwers <br />py (_ � � (\I � <br />J�=--_-._=���'�.l.l_�_______Inspmtor . <br />N <br />�x 000ns e.ar.�e n�N ene> <br />Examined and Approved by�' ��-__� : ��;z> <br />— . _ __ <br />/ c��r ev��� <br />DY �� �-- —"-- — <br />