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T'HE CITY OF EVER: 'TT /` ? 5 <br />y <br />Date��� <br />Sketch of Proposed Sewer Connection or Building Situated on Lot --___- <br />Division or Addition' <br />-----Owned by- JS:i� <br />Application and Connection by!�r--------- — ----- <br />Remarks:_ /Q -" --- — — - _ ..Aec. # 3 7� <br />Depth of Sewer of Coru, c Ion I I <br />,,:r e s.','t� to 6 " CLt <br />,dAlete- <br />u l4 <br />Connection made the. d day of _ _—_ _ ii, . Examined and Approved ')y <br />City 6nyineer <br />Supf. of Slrsels and Sewers By <br />By 95294 � � <br />