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THE CITY OF EVER 77' <br />0 <br />Date_ <br />Sketch of Proposed Sewer Connection for Building Situated on Lol../"-_� _ _ Block — <br />Division <br />A^ f <br />Division or Addition_ ' tens l 'f • art : <br />No.— _6 a - CO/ . % .Sy_ Owned by--( <br />-- <br />Application and Connection by__L� �' : ' �.1f -- --- - ----- <br />d _ Licensee <br />Remarks:_. _- IC n+Y.y �g!' 9! 7. Fyn n f j <br />Mptb. of Sa war at canaacllan I <br />MA <br />Connection made <br />e lboJ _L—d'aY of-- u au ti�- ly (� � <br />of St,eala and Sewer <br />I <br />7 <br />Examined and Approved by- CAL - - __I _ <br />---taapaclor z 8 q 25 <br />/y�r�Y orr r rasa• se <br />By e /clly #1ginp <br />