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THE �iTY OF EVERE _T Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot �a� Block <br />Division or Addi6o* <br />No.n�1% _Ownod by�L <br />Application and Connection <br />Depth of Sewer at Connection I <br />cL <br />W 4,- <br />19-0-<a/ <br />Connection made the_h- day oL—.-(!-- Examined an pptoved by city Beg met <br />____Supt. of Streets and Sewers By— <br />By__�1�✓ — Inspector �OOO� -- <br />