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THE CITY OF EVERE FT <br />Date_ Mn n.-� (A _ <br />Sketch of Proposed Sewer Connection for Buildina Situated on Lot `' <br />-------___ - _Block- <br />Division or Additinn—)__'.-4 <br />-- ----- - ------ <br />No._L�/( RI..i - - - --Owned by__bUJiy.--Sire--- <br />Application and Connection by L E. � I- Licensee <br />Remarks: __�rr (IL, -P I #- 17�7 -10 <br />Depth of Sewer at Connedtpa c. <br />i <br />a <br />ir" CR, SJ GS P4 <br />.t <br />r� <br />L <br />C <br />Connection made the_! q� day of__ 19 `�. Examined and Approved by-' . I j cj u+ n <br />.----Supt. of Streets and Sewers gr—�J Cfty Eaq:aeer <br />sp - _---------�,_.t----..-Inspector_ R4063' — <br />L� <br />