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THE CITY OF EVERE'. T <br />Sketch of Proposed Sewer CgmactZon for Building Situated on Lot — <br />Division or Addition/GRi•f' �� /-�</<J�_ <br />Owned b _ <br />y <br />Applicatian and Connection by___ Cry—GyJll/i 6 <br />Remarks:—__--- <br />Depth of Sewer at Conaecdon <br />r <br />/V0 <br />li, <br />Connection made the--!- __dayoof_ <br />01S. 0//0 c44l <br />erupt. of <br />o <br />By r / --._Inspector <br />-EDO ............. . <br />Dale <br />Bloc"/, <br />_Licensee <br />L_ <br />. L►t <br />,—_19?�Examined and Approved hv <br />Streets and Sewers <br />16262 <br />City Engineer <br />Hy - <br />