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THE OI"T'Y OF EVER_:TT <br /> Date -✓cy// L !o! <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot__ �p 79 x-!t <br /> Block- <br /> Division <br /> 1,4 ' -L <br /> Division ori-A,d�diittio�n_ ! "�'_��1� �'°•�' <br /> No._ _aha-- •�f _ Ownedb —ilia �y��SsorJ <br /> Application and Connecticn by •'p•1 / /Y�/O'ksa'.1 --- -----__--_-- _-Licensee <br /> Remarks: /r .,r ,J e7fl r oe�;' 1114A J.d ,:/ ---- <br /> Depth of Sewer at Connection I I <br /> I <br /> q— <br /> V- , <br /> LO -F-s•t�Ae. Ot�-�=N-- r- <br /> u �h <br /> rtti. <br /> Cormectlon m e the�day oL —_�'' 19�'_ . Examined cnd Approved by- i L <br /> �. fry Engineer <br /> _—_ <br /> .-Supt. of Streets and Sewers By —. <br /> By___ _.._. —insp.cinr 13416 <br /> .�► u.0 n..r.ea <br /> )J <br />