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CITY OF EVER :TT <br />Date <br />Sketch of Proposed Sewer Connection for Building Situalyd on Lot _ Block. _- <br />Division or Addition -__ '. ___-__- ___ _ _-___ e• <br />No. Yr s ---- - - - ---Owned by- -t - -Jn v r�---- - --- ---- <br />/ L: <br />Application and Connection by. _.-._-- _ _ - _ -- .—__--- ._ _.._ ------- ..._- --- --.Licensee <br />, <br />Depth rl Suer al Connection I I I <br />4 1 / <br />Connection made <br />Hy_._. ___11 <br />r ............. <br />19 �' . Examined and Approved by . <br />t f' City Hngin«r <br />_ _ L Supl. of Slnelb and SewersHy__ - <br />Inspector .18 37 5 <br />