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� <br />� THE CITY-0F EVERE-I'T <br />\Sistch of Prop `cd Sewer,Connection for Buildine Situated on Lot_ �� _ Biock <br />�` IN�ision or Add�tiec � --- -- <br />No.— -------- Owned by. - -- --- __---------- — <br />Application and Connection by — Licensce <br />Remarks ; • -- <br />. Depth oi Sewer al Connection � <br />I I � <br />I <br />-- �- \,� ----- <br />�t1 <br />� 0�21� <br />., , � <br />Connection made the day oF _:" �^'�' 192� Examined and Approved by_ <br />Snpt. ot Strcds and Sewers. 8�.� . <br />G /� l� G.. - �1 �y � <br />g9 _ C' � �.CL`c�_ Inspcclor. — - <br />� <br />c��y e���o«.. <br />� <br />s <br />