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<br /> ���Z' ; ;��- ' THE �.ITY OF' EVERE" T �/
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<br /> Date-- -�'--. - - -
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<br /> Sketch of Propoaed Sewer Cop�ection tor Building Situ�ted on Lol. � '"'i _ Block �. ��� ��r -`y_ -
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<br /> Diviefon or Additioa_ _ �` � !
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<br /> No._ .�'jy !'Lc � l�'i 1 �^u� - - -/- -Owned by .T!'�!/r•i ..1 /�i,�,�.
<br /> AppHcat3on and Connectlon by- _- � '_'�._��'�� `�'��`�� � _ _ ry/ �i,icensee
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<br /> Dapth of S�as� al Connecllon � I I " �
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<br /> Connection made lhe �� day ot 1 � ' '" ' 19 � �'. Examined and Approved by.�• � �' _` ' �V� ��
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<br /> '• ��� �"... r Supl. ol Slroob anJ Sew�en By r � / �r !-"t.`'�? Y___—_
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