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r <br />r _ <br />THE � CITY OF EVERU ETT <br />Of Proposed Sewer Connection for Building Situated on Lot— / 7 — f o Block '58 6 r 3 I <br />Division or Adc <br />nr_ "LI i-I <br />Owned by ----- <br />Application and Connection by _/ zr�" �`-a Lu t1 /�'L� <br />Licensee <br />Remarks : - _ <br />Depth of Sewer at Connection <br />'Y <br />J1 <br />L, <br />`l <br />09CO ) <br />Connection made the _)L-day of1922� Examined and Approved by_ <br />' laity Engineer. <br />--Supt. of Streets and Sewers. By <br />Inspector. <br />