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h <br />THE �°ITY OF EVERE`. T Dated/ �� i9GL <br />Sketch of Proposed Sewer Connection for Building Situated on LoL'��_ Block �{/ma/xVv° <br />Division or Addition wwa a of — <br />xo.— 631V —Ownep <br />Application and Connection by G ✓,70a St �'xdxh ---- -- --Licensee <br />Remarks: ��ye�"•t Gu1,E /620 % 76 '`• — <br />Depth of Sewer at Connection — <br />4— <br />It <br />A <br />O <br />1'iY'rtl�u,v.... <br />V <br />N <br />� o <br />Connection made the. to day of_—� is Examined Examined and Approved by �. �'e �airi <br />L ' ,/� ,4W 4City Engineer <br />Sept. of Streets anfsd� nSS6wArs Hy__.. �.C_.�IZ t e�0 <br />E ? Inspector <br />