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�'�E LtTY OF' EVERE'. T <br />Data_ `IGh� /O /�'6� <br />Sketch of Fr000sed Sewer Connection for Building Situated on Lot ��__—__.__ ___ __ g;ock_ ____._ <br />Division or Addition_ �� n/ �_ �' /G <„_ %f rc i�:,_ _ <br />No._'`3/U JlO,ve// ��--- ------Ownedb �� /��OufL <br />Y--- --'---- -------- <br />Application and Connecfion by�/l ��1� �____ ___ <br />J <br />L' <br />��b / � �.' <br />-- -- ----._._---------- . . icensee <br />Remm'ks:��%w: �� � �Z y 2 � -- �e•d u�c p�,?'m.,ir/ .s r �,lL'�.�t' — <br />Doplh of Sevror al Cowedlon <br />`-f Ge-w�c,'�.w- te 6'r <br />� <br />3,,}�a.,,�.c�.o--- dX �.�..��( <br />�-�-'�v 6u� d�u;.a..e-tt� �'Z.r-.� <br />���w -1�-�e--� /�"-'�-w <br />�1-'' R . �-J. -� ,�,�� �,t.:�_ . <br />�.,,�� 1..�- � �Za,.� <br />�� `� 1 !� la /W�e.i�i <br />�t�Rl- t"' � C�.A.���. <br />' ✓ <br />r; '_, '< ' � <br />�� ' <br />l �--�° �o �iq cI. ..s± , -- <br />J <br />� I � <br />__ � 1� �• _�_ <br />�F3— - �� <br />� s <br />-a- j f � 2 <br />�/ <br />� <br />� <br />C <br />� <br />_ j/ <br />Connection made the_��-�__day of. ___��-c.,t._____19��. Examined and Approved by__ �Y' (t t"_''�"' __ <br />' �/�ACf.y Englnccr <br />- --------- -- .. . –__ Supt. ol Strcets and Sowaie HY__ • —CLa��� <br />_ _ <br />____ ' <br />ey- _� 22.G26 � <br />` �'�y. -. , ---_ . -I:�epocmr -- . . <br />��/�ry�(.:�»` 5 i <br />�`{ y }{ <br />. N Y��` . <br />� <br />