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THE .:ITY OF EVERE � T <br />✓ <br />Date nCGT % ! I ����- <br />Ske�:h oE Propoaed Sewer Connection [or Building Situated on LoL_.�_'-1—='� ---- --- Block___� <br />Division or Additio�L;, � �J _l�� �_i :E � Il I) � T I � -� --- — <br />No.�?-(: � ( ��• [�-� / .. �—_— —Owned by_ ', � A AJG`i-1�=G—_•��G --- — <br />y�__� <br />Appiicatio and Connec8oa�by ��1`4.t: <'H�' --'A. Af !11.- L _;_ " �--------_—_--_-- — -Licensee <br />� I s�. } � , .. � �� <br />Rem�k�j_J_�,_k1 __J��:�1�1�r .. i _ _ _ -- — <br />DepW ol S�aar al Connsclion <br />� � � � L- <br />� I�1L (' If ,r_r' � �I_v_{>. <br />4�' 1 ��,;�.` �9 �D 11 }�N/� <br />f ( <br />�-� �°�e�.�,Ec� Q`'-``_`' o-`�— <br />: ��-y +�-�-�-� �%r' ,�-�-��'' <br />p,�,��`,�`R' <br />y" R t� C 5 P.�- � <br />�,�.-,:..,,, . <br />��� <br />, <br />v <br />, � <br />,��1� � �; � <br />Connection made the. � �_ _day of_ _ �%�F'&'-� _ —_ � � � � ; / , �r_,`��✓� <br />_19.—. Examined and Appr ved byj i� ,, — <br />_ —_ _ '- �>��g',�{.�\ . . _ _ — . _ _ , � _.� " Cify Eqginee� <br />. �,_ ;' -� .:'..-- <br />_ _ Supt. ol Stmels�and Sewen ByJ/_`�[;._.�L • r'1-*�-.`�- .%l f.-�' i� <br />��I�o� �7p <br />By_ __ _ -- __. . _ _ _ _. .. _ __ .. _. _. Inepectoc 2�)U�1 <br />