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THE Q N OF EVER+_T`N <br /> Date <br /> Sketch of Proposed Sewer Connection for iailding Situated on Lot. (A � 4 -0 _-__ , Block__ <br /> Division or Addition-.—_Z,• <br /> 'moi' <br /> y/, - '$ / - - _Owned by IfVoo/0s <br /> No.- '- - - -- -- - - ---- <br /> Application and Conr-ctton by r/!„, i�iK./�ND _ -----_----- _-.Licensee <br /> Depth of Sewer at Caare^tion I I <br /> r 7)Otrb <br /> •. ;5° `a��`” �a•w �t,R.4.. fo l,�,uv- � /1j1.���iVr" r <br /> z J <br /> Connection made the. day of - 4. __- 19 Examined and Approved by _ <br /> _ City Engineer <br /> l Supt, of Streel. and3eweu By <br /> By Inst ertar 19903 - -- -. <br />