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THE CITY OF EVERE f f Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___ •S—______. <br />Divisioa or Addition- LG & - --- Block <br />No.__ Z_ 4 0 6 � - Owned by. - <br />Application and Connection by x ? y' --------- <br />Remarks:-- 1 z) �- - - -(-- -Rec. <br />Depth of Sewer at Ccwection I I <br />fi <br />• 4 � . -�, c....f,.t,,.t,-�- Lam,: <br />Connection made the_ .1� day of19-. -_. Examined and Approved by_ <br />City Engineer <br />Supt. of Streets and Sewers 'Y <br />1 Inspector 26771 <br />