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THE CITY OF EVERt�_TT���cs <br />Date__ <br />Sketch of Proposed Sower Conn on for BuildingSituated on Lot—in�- __ �' I-`- 4 <br />�.�d IF EerAi3��/M �/�✓�C'er � <br />lock. _ <br />Division or Addition...____—_— ------ - S• Isis /�Lt G G r�- <br />�w .—Owned b - <br />Application and Connection by q K/ O <br />• RT <br />Remarks:. Aec. #_d -- -- <br />Depth of Sewer of Connection <br />SPA. <br />y-II R yj <br />`' 7 <br />Corms%lion made the./(7 --_day of _ " 'et• _ 196 S. Examined and Approved by <br />. — , -' --,- f. Supt. of Street* and Seven By <br />By Inep"tor 27077 <br />—4 Cry pq1 <br />