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THE "ITY OF EVERL fT qq.� v <br />Date X, /_ <br />Sketch of Proposed Sewer Connection for <br />rBBuillding- Situated on Lot3 ��% Q____ Block_ <br />Division or Addition-� - 1 1 -- <br />No.__ /_ —%-�-----Ctvvned by -- <br />Application and Connection by /ALL _ �0w)• j licensee <br />Remarks:- IO� U A•'VNr ��T i%I- IOS y.3 <br />Depth of Sewer at connection I I I I <br />G' 1 `^ _V to yCtAhOr <br />ap 14-V_t ,. <br />&1i R.�. �-euuu�4 ocux.. �►. <br />{e (•e � ett1.. � � s�ibru4"fie a <br />3 <br />N <br />v I <br />c rt /► <br />Connection made the. -� l -day of_ 19.6 Examined and Appr ved by. , ' co l✓)n _ <br />City f •�l�a.x— -- �% ee,.a.., <br />_ Supt. of Suaele and Seam By <_'.�/_t Y/ \L� <br />