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CITY OF EVER' .TT DateL t`ql� <br /> Sketchbt Proposed Sower CQonnection/for�Building <br /> ,,�Situated on Lot __p/ - —. Block-__./— <br /> Division or Addition- �"- --b�-- /Jfi <br /> No._- - S I /✓ owned bY- - <br /> 6/1 " 6 0 �') _-- _ - _.Licensee <br /> Application and Connection by ---- -- -'- - <br /> Remarks:-- ------- - <br /> -+ .fir, /J' <br /> D8p16 0l Surer at ConM <br /> nlon — --� / ^ /,' '"01��c� <br /> 1 <br /> l <br /> 1 1 <br /> 41 <br /> i <br /> No ✓� <br /> .�yr l� <br /> Connection made the-MI--day"o-^f Exam[ned and,7 <br /> JD{ • 0161 ` <br /> av�b � CI�Eagioe—err <br /> Supt. of Slreols and Sewer@ Br— - —� <br /> Br- - _ � --- - Inspector 18669 <br />