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THE �:ITY OF EVERT T lf, "?/I `, <br />Date_ `�'_--_- <br />Sketch of Proposed Sewer Connection for Building Situated on Wt f _ Block_ <br />Division or Addition_ _��•.`t +/o / !�/F+l� --__-- - -� A <br />—Owned by - <br />Application 2nd Connection by_—p`sT •� G -- - —------------------ --licensee <br />Remarks: � /rX�d�� �%Zy /9ci <br />Depth of Sewer at Connection I <br />If I, -( C, <br />syt-4,.ts eI �Ec, <br />P_L: ,e. % ' kA_X,. <br />P.�.. to <br />,/7 <br />z <br />Connection made the gi `� day of- __ _. Examined and Approved by <br />Supt. of Streets and (*were BY <br />By Lup-tor 19265 <br />L <br />_ cfry n N <br />—__4_e U&6 <br />