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THE CITY <br />OF EVERE7 <br />571C <br />Date <br />,/%i/ o <br />Sketch of Proposed Sewer Connection for Building Situated on Lot__ _ Block <br />--. <br />Division or AdditionNo.--- <br />t <br />: <br />Owned by G-. atr/. c. Het s <br />Application and Connection by <br />% • �=dr/� <br />____-- <br />_ _ _- licensee <br />Remarks:_ <br />— <br />Depth of Sewer it Connection <br />r <br />Connection made the <br />By- <br />. .... ...... <br />ue <br />I <br />day of <br />X f e' r J.� I <br />I <br />19- _ . Examined and Approved by. 7. (/ / 'o hs <br />Y --w 10h' &*inset <br />Supl. of Street, and Sewers By3 ` <br />Inspector mom-� <br />�Rrc L,.a6 a/-. ��od.I.,,�Gs 13197 <br />