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THE C. FY OF LVERET . Date '�7 G2 ` <br />Sketch of Proposed Sewer Connection for Building Situated on Lot- _ 7 I _ Block. . <br />`7 �1 <br />Division or Addition- k�r'LK,,f�—_����? - - - NO.- - Owne d bY- -- F (/ I,'— 2u'--- -- - — ----- <br />J_ <br />Application and Connection <br />Connection by- .-5. 171021 (7„ �'^" r• <br />Remarks:__! L rc i �i,;v �i- `1• ____ -__-- <br />Depth of Seeer at Connection I <br />7 <br />-.----•------___--- - —Licensee <br />I <br />Connection made the. O.� . -day of _ N 19 F? . Examined and Apprgved by - R' °City Engineer <br />.��� _ Supt. of Streets and /6,e�C <br />Ny°r° BY ��tG! <br />BY- ICIor <br />