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TE-lE �ITY C�F EVERE�I f �� <br /> Date�v 3° /%C S <br /> Sk etch of Proposed Sewer Connectior. for Building Situated on LoL �'� .. <br /> , - - - <br /> _ - - <br /> Division or Addition ��j= "�. ��� yr�"� �' '�- <br /> _ _ . -- ---- - - _---- ._Block - _ <br /> No.- y-�"�--/6/� /f y� _O,vned by. _�r�.�;/7 .;; �• �o n%i7 <br /> -�-7- - _/_-� -----� <br /> _ _- - -- - - - - -- --- <br /> Applicafion and Connection by L_"_' /�� t'>�`�' f` � r•'�u��' <br /> - - --- -- - - --- - - - <br /> Rem�ke:-- ----- ----- -- - - - - - - �„ �oRec. :� / 5�7� <br /> DeptL o( Sevror at Connedlon 1 I � � ` <br /> - —_—_----_ � _-I ��i'fJ �i - — � <br /> � � ' <br /> / // l_-b�ln�o�.. � � lin-C.t�'1 <br /> C:_1 p � ii %z ' '� ',.�,,_ <br /> �,, �_9-�—. M <br /> � � <br /> � `� �'�j C S �` � .,� � <br /> � --- ' ' �r-� <br /> 2�-a.t- A-�-....-��.. � � <br /> . f , , <br /> ��-a.. -�� �{�1�c ���� �� � � '� <br /> '1� �� � �. 1 5z r� <br /> � . <br /> . <br /> _� �-�;$��_:- � <br /> _� <br /> I <br /> I s� � <br /> �/ � ' .5� � V �e/v�a <br /> Connection made tho �i 1��-day of- .��r^-�-�-'� 19�__. Examineci und Approved by_._—�-__ __ _ <br /> / .i Cify Engincer <br /> _ . . Supt. ol StroMs ond Sewera By___ <'F���OYfJ;,{ <br /> .__ ._ __ _. .._ _ _ _ <br /> - S . _ _ ._ '_—.--�— <br /> riy . . _. . n��l �' -�-'-/ Inepacto� 27.:�O 1 . ___--"_ __--_' — _--' <br /> I <br />� <br />