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i <br /> THE"OCITY OF EVERffrT <br /> Block _ <br /> Sketch of Proposed Sewer Connection 'or BuildingSituatedon Lo <br /> Division or Addition_-__ // __k =ems — �f - - -- <br /> (� tl <f -_Owned by- �� /r,.,�A/f u y <br /> •!�/ �nnt�a �� 1�.•J� __ - - . --- - -- Licensee <br /> Application and Connection by --� <br /> Remarks:-Y ot I <br /> Depth of Sewer at camectlon j I <br /> t 6 <br /> C. <br /> q.�,�,� z <br /> a + <br /> V,A;f�aAinn-d ew. 4p s . w <br /> q <br /> Connection made the _day of- - <br /> a�S mw-------19 t • Examined and Approved by Jt-y <br /> _ /Ka!D'�1.# - _.Supl. of r1rrNu Md Sewon 9y - GL <br /> er- <br /> .'il.l0 Inspector <br />