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TI--IE C9TY OF E�iERE�'T <br />- , � , , ;� <br />Sketch af Proposed Sewer Ceunec:tion [or Buildi�$ituate�d /on Lok__-_-___ �`J-- Block_---__-- <br />�,• � � /,`- � " .�i�] Av% � <br />Division or Additian " ` � -- - -- - - - - <br />-� � � �-� <br />� �i� i <br />No._ /—� --- -- � — Owned b} _ _ / _ , _ � ` ' - -- <br />, ��� : ,� . � � <br />Application and Connection by __ ---------- ------ � Licensee <br />Remarks : —_ - ------ - — - - <br />P�pth of Sewer at Connection I <br />I I � <br />I . I <br />� 09892 � <br />`1 . <br />Connection made ihe �=-� day o[ '�L_� �--_----192> Examined and Approved by_-_ ___—_ --� <br />, Cit�• Engineer. <br />__ —_--____—Supt. u! Sirecls aud Sewcrs. By--- . -- <br />—______ _— ` . , � ' " _ ' .��f <br />.. <br />� <br />�/ : . . i . � . . :�• � <br />. ;. .� . . . . . ... Inspedor. _ ____.—_ _—_.__- _.__.._ ___. . ._ <br />BY�—__._'_— ___--___ ._ _ J <br />