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THE Gil Y OF EVEREi i <br />Date / O n c r~ S,/ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition- �t1j �-� N�� W _. _. _ _ _ - _Block <br />----Owned by. F .�f�.frCL S_--51_A_tirP_/v <br />Application and Connection by- % d Y %/ 1- < <br />Remarks:—/t2 �—�Ai AM 177 � l�Si�. - -- - --nee. <br />Depth of Sewer at Connection I <br />P� ter <br />/7 + <br />Connection made the. 9 =� _ -day of __�"' 19 64 <br />By— - - --- <br />Supt. of Streets and Sewere <br />I <br />7 <br />Examined and Approved by_—p C U(�y/"4-00, <br />/� � e� nn ^^ -- City Engineer <br />Inspector <br />^r:ca?e <br />