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4 <br />THE ,;:ITY OF EVERE QT Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot—._ <br />-- Block_ "z <br />7l , <br />Division or Aamuon � — — <br />d b _T, L •_ r& r� <br />owned �--- <br />No.— Y <br />Application and Connection by <br />a(e4aP' __..Licensee <br />marks: j� ( � <br />Depth of Sewer at Connection I I 7/ j'' � <br />DS/'�[C �C L. <br />ru,a_ti b� Ju^ <br />muLu <br />G SS G .i <br />I \x •wa -_.19-64 <br />�. Examined and Approved by I �' �2I J " <br />connection made the_ -- ___day of_—----.�I.— _ (miry engineer <br />_ Supt. of Streetsand Sewers By By / <br />_inspector 2 <br />