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THE <br />',.'..;ITY <br />OF EVERE ".,T' <br />. <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated <br />on LoL-!L—Y Block /!J <br />Division or Addition NJir�! L <br />ii ` <br />No._/A <br />Owned by_ 1V4 /t✓ ✓,+% �r�s r <br />Application and/Connection by l•C .7n <br />^y' " T <br />��_ n`AeAl <br />T"icensee <br />Remarks: It, ( r,11r. <br />" Depth of Sewer at Connection I <br />I <br />I <br />i <br />4 <br />1.4r) rr Q i,) <br />I I <br />Connection made the d dayof 4 19=. Examined and Approved by_ — <br />City Engineer <br />—.---Supt. of Streets and Sewers By___'= "�-�- ✓"; <br />inspector �YJJ — <br />.�y ess�..uuo&warn.sou <br />