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THE ..:li"Y OF EVERE �'T <br />� � na�e�/�"� <br />___-- <br />Skelch of P:oposed Sewer Connection Ior Building Situated on/Lot_ _— Blnck__ ____-_ <br />L. . . Additi l/�.�,� ii%E� .�lec 35 =iR-y ( �_ r,�..�.,,�1� - -- - <br />�v�sian or o� <br />No._—_-�'1'�' <br />bY- — v�"�'"'` - <br />G��'kQPi1� ---- ---- <br />npplication and ConnecHon by _ _ ---.---___—_---- _ - -- - --. --- — Licensee <br />Aem�ke:�e � A� �` �3�6 � <br />Depth ot Sa�ve� ot Connectlon —� I � <br />/�i� o�Q"IA/w• �d, � I( .�.� (C� 1 d� <br />� 1� e.,t.�, rj � ,�CQrt�r R,u. <br />�. �� C� �a c s �'-�-� ���. - <br />�.� � ��� ���� � <br />�- -��v�: ��— ,C.e.�.� • � <br />�',,�,,��,,�,�,�. � �»+.a.�„�. �c.s-fl,,. � <br />� � <br />Connection made the. -I_ �. _ _day of _ � ���-''�' - <br />� <br />� <br />19 p�. Examined and Approved ��Ca/-icf.�--- <br />�ify Engineet <br />Ao <br />_ __ ____ _____ , . _ . _ Supt. ot Slroats and Servc�e HY—_ — — - . <br />- -- 2�� 154 <br />gy _ _ .__. _ - _ _ �_. _ . . .Inepocta� -- <br />