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THE of FY OF EVERL r <br />Sketcn of Proposed Sewer Connection for Building Situated on Lot._ <br />Division or Addition- ia/ hwon <br />No.__ ,. -- - -Owned by- . + <br />Application and Connection by �470✓ ��� -- -- ---- ---- <br />Remarks:_/_!e a/a� ! . ✓/r? c� - - — - - -- - <br />Depth of Surer at Connection <br />&,t.a..,.J-- <br />1< <br />1 <br />Date rr rJ�� � <br />Block <br />. - Licensee <br />W <br />>� <br />Connection made the-I9 _-__day of- 1# Examined and Approved by <br />—'�— 11y near <br />.Sups. of Sireeu and Serves ^ By - - � �--�� �% <br />By - Wspectar sue.• 4 -) II 4 <br />M <br />