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" i �- �---` THE ;ITY OF EVERE _'T �� ✓ <br />/i�e� % " /'� <br />Date— . • <br />Sketch of Pro osed Sewer Conneclion for Buildin Situated en Lot—__ _ �_ Blocl�— _� ����" ' <br />P 4 �'-" —� -_ -- — <br />Diviaion or Addition__Ui: -'_'r� � �• �/5 Ji � �J� • � _- — ---- <br />. � <br />No.— L .:o�L s_—����y�• ,.�cc-�� --Ownedby__ ���-���%I'n�i ---- <br />' � i <br />Application and Connectior. by �� / � ��• y'� % /��'r�T '� • _ ______ - _ _l.icensee <br />Rem�ke:----- — -- - — -- — --- <br />I I � <br />llepl6 of S��ver at Connsctlon � �•���f/ � /�� 1�s��" <br />/� <br />/ � i <br />- � %'/.�n�niJ .i�n�� <br />�a <br />� <br />�'- �' r/�✓as��•��'c <br />��.'�uS4 <br />J � � ��".�1._.- <br />' � I � <br />II , �/OIJ r 1"'% %/ /i�::/�//' <br />Connection mcde the___.__day ot _— _�L ______19.�—. Er.amined and A.pproved by_—" _ <br />/Cily Engineer <br />-- --_ __Snpt. ol Slreele and Sewera HY_—_ L7_ _�r!_� � �'=!'C' (_l.�--� <br />By____ —___. / l �M ,� � �nepaclor• ____ <br />— t '�' <br />�b ..., ...,<�, �o ---� � �S � 32 � <br />