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THE :ITY OF EVERE -T , �! � �,, L <br />/ <br />Date�.;_;, , ._ � ., ��� - <br />. � <br />Skotch oE Proposed Sewer Connection tor Building Situated on LoL__ j_ t__ ____._—.—_ Block_._.__._ - <br />I + <br />r�_ ,...,, , � �r ��� _ <br />Diviaion or Addiflo�t--' —'-__r_'------- 5 r- ._�-- ----- --.--.— <br />(,� _ t L�,�� ��_� <br />xo.— --� f-'a / <br />11 __ �,_. ' i ; / Y s�w� —Owned by. , i i :I� �'- :+L�—�Ly�'+_� _. <br />Application and Conneclion by �� `� ' � �"� � `r�� -- � `� ` " `�''� _ _ - _.Licensee <br />L --- - �------ - -------- <br />�! _ ;; fa.., ! ;, /, ' <br />Rem�ka:_ _.�'�+_i:_�_ _ _— �—'-----_-- --- - -- ---- - — -- -- ---- -- <br />Doplh ol Sa��or at Comecllon <br />Cia. ';,w a,tLa,�A,.•i <br />I <br />./ .' � �_`. l�t <br />� � 1� <br />` _'; ... <br />I � �'f;�%:,�� 1���l� � <br />t� <br />�y� � <br />Connectian mado the �'� _ --day ot _ �rn '�- --- <br />�' /y,.c' <br />__.19 �L. Examined and Approved by_ <br />�� ! a <br />�� y_._ ._��9!_.. ___. .— SupL ot Sltoab and Sewan BY— '' j^— <br />_ _.—.__.___ � �r�.L - ��_ <br />By'__ --_—_�`=1�___ _-s.ti� . In�peclor —__ ___ —_ <br />.:R,. ............. __ l p�^4 <br />� <br />! , <br />.1,� � _ :.�. _ . <br />. w�'iCity Enyi�ec� <br />.. .. i.._ <br />