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THE c..,ITY OF EVERE ^r Date — <br />Sketch of Proposed Sewer Connection for Building Situated on Lot@__7--- ---. Block—_ <br />Division or Addition_ REyC�Ly���C— <br />7!5 O `7 L-.O(4)6o &P-jaC �O_Ownedb;_---- <br />Application and Connection by !�_: l - ---- - Licensee <br />7.7— <br />Remarks: <br />Depth o1 Sewer at Connection �j I <br />I i <br />at Uj <br />�}" � � , do �r�•- &�.a.�. <br />1 <br />!arty o nn cl G `� pp y--ram. V . f� <br />Connection made the. __ �L__�_, f_.— __------ 19—. Examined and Approved b <br />. City Eaginecr <br />• Supt. o1 Streets and Sewers <br />� <br />By—__—_ .—_Inspectorh?c�. �1 — <br />