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THE CITY OF EVEREi I- <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Int - — <br />Division or Addition_ \ T —_ _. 1 _ --.—Block '- <br />1't -Owned by <br />No.— -- <br />Application and Connection by__—'1' <br />Remarks:-_ - - — - <br />Depth of Seve, at Connection <br />y, <br />2q �y _ 1 b .Examined and Approved by - - - -- - _ - <br />Connection made the- �dtry of_— . -- cfry enyfeee� <br />! <br />—_6upf. of Slanla and Bea By. _ ��) �•''"�'=+� I <br />------ - , -- S 5 4 0 <br />By <br />