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THE C, ry OF EVERL-T 1 <br />t <br />Date =' c <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ 14 4.'_ <br />Division or Addition_ L 4 11 - ('IG TFr1tSS .Blo(k <br />._Owned b c l� �-r--rt— <br />�t <br />Application and Connection by _ f f 110) ). s ;4. _ / <br />Remarks:_ _..K (0.or-�, CUIVN. ALL ✓- r— _---_—Rec.#�! !O-- <br />Depth of Sever at Connection I I I <br />4 r t ` ft4, t. 4 rt.iy/t <br />W P� * ' ,d e-tr A'L&t <br />w,R)d CsP+, <br />fa 4-ou- -- �,.. . <br />Connection made the. �'-.—day of- ---19 'S . Examined and Approved by_ <br />City Caglneer <br />Supt. of Sluele and Sewers By ------- -- <br />Inspector ?V 1•SQ---' <br />