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THE ;ITY OF EVERMT ✓ <br />Dater ys' �= G/ <br />ketch of Proposed Sewer Connection for Building Situated on Lot. 4k!4-A1-f-z__ Block—__��,r _ <br />Division or Addition_ l._ r; A41i� G�iL i /f/ <br />No. <br />Application and Connection by <br />Remarks: <br />Depth of Serer it Connection I <br />y Law . < a.,W— to _i t t". , <br />,� Pk � A4;U. <br />Licensee <br />I I <br />or= <br />IV <br />4tr,_Y ti <br />�LuSL �1Jea,d/une1Z nti��.e{. ✓� <br />PR.we.t, � ,is�uC,Qk:y <br />fx' <br />7'� ✓-I <br />C <br />O <br />L <br />Connection made the. u�s _day ol_ 19 . Examined and Approved <br />'""""^--------._ SupL of SirwU and &wen By v <br />13413 <br />tp. <br />y 611/ <br />Bcglnnr <br />