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w..1 <br />Sketch of Proposed Sewer <br />Division or Addition__ <br />THE �.,,TY OF EVERE'f F <br />Date 5 <br />ctiou for Building Situated on Lot__ — -- <br />Application and Connection by -4:�Agl <br />Remarks:—Ag� <br />Dopth of Sower at Conaacttm <br />i <br />4� f? 0tlat. l.o <br />th <br />0.0" P <br />�J / <br />Connection made the. /-� __day of-_. ig U 5 <br />Block- <br />by- - <br />--- - - --- Rec. # /37 -7 <br />Examined and Approved b _Aw-,/wj <br />City Engfoeer <br />Supt. of Streets and Sewn By- <br />--- ---° — Imppwar 25282 -- --- <br />