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THE CITY OF EVERE:T`i" <br />--------------------- - <br />Skehh of Proposed Sewer Connection for Building Situated on Lot _3 Block <br />Division or Addition <br />No. Owned by 1. (1 <br />ApPlication and Connection b Licensee <br />Remarks --- <br />Depth — — ----- - _. <br />of Sewer at Connection I I <br />�1 <br />Connection made the_-- Jday of - <br />By . <br />_ 1910 Examined and Approved by- <br />---Supt. of Streets & Sewers. 02999 City &gincer <br />Inspector 13y_ .• - <br />