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0 <br />"�� TH� �..TY OF' EVERE�► .' `'�' <br />lData � � 3�-�- <br />Sketct��f Proposed Sewer Connection for Building Situated on Lot____ .__L-___ __ .- _-- Block_ __—� <br />5��'i--�! E r_+� la,� 1 G/� ---- <br />Division or Additio�_ -'--"— -- — � <br />xo. l�j %'"-�t LL S� �_r-,__1^_•� 1V �--Owned by_I11z5_, /`I ulat_��._—n�� _ 5�%'!_!!__'�_- <br />Application and ConnecGon by—���1Lt /�J--rf�����-j'3—'� r�'- ___ ..__ _____"'_. -__Licensee <br />Rem�ka: �1� �} � �O — — - — — - -- — -- — <br />Depth ol S�Ne� al Comecllon I --I-�—� �� �—� �� � 1 <br />.�.J L � <br />I M� �!I�.r�o I _ <br />y-° ��. t �'' � � � <br />S � � � ' ,G�-e�,- ��`,�"- • , <br />� ,, R y� � s Pa;p�. ,k-�-�- � <br />P�,,- t� -E�.�.�.�' �� � <br />. -. <br />� <br />� <br />� <br />Connection made the. �3�- _day o[ _ � <br />By _ <br />__ — _. _ /��.. <br />- `t <br />: <br />� <br />� <br />� <br />_ 19.� Examined and Approved by_lCi�t �'V �'L �� <br />Cily Englneer <br />_. . _ Supl. o! Slroeta and Seweu BY-- <br />��,� • — <br />Inepoclo[ �� <br />' 2G560 <br />