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THE AITY OF EVERE T"T Date <br />AQ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot i��p--___ Block_ <br />Division or Addition- <br />No.— 1110� —_3S5 TN1C'Application and and Connection b �G' -_ <br />Remarks:- - _- I" /'a✓�/�_�� �- ----- <br />Depth of Sewer at Connection I I I <br />- ---- J �_ -� ,!5 T+Y s T <br />�ql� <br />t.f " 0, N <br />•-T '� �-1.L1.� <br />c.s-w.... Cr. <br />1,JI - <br />90)z_�µw <br />Connection made the. o` day of- <br />v <br />L r:7 44 <br />z. <br />c <br />ON <br />Licensee <br />—. Examined and Approved by_R V <br />City Engineer <br />_Supt. of Streel. and Sewer$ By — <br />my - - -- - - - -,--- - - - •-- . Inspector 24830 <br />-- -- <br />