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C <br />TN� �.1TY OF EVERE'. T /'?�, � <br />. . . Date-�/=�� % -- <br />� / <br />___ Block___ _' <br />- _ - ------- <br />Skelch of Pruposed Sewer Conn�e?ction tor Building Situated on t_ -- <br />i��7�YUl' .tn. �' .S '� � -dd'e i4���'--- <br />Division ez Addition -__ __�- n� - --- - - a,� - - - <br />., r.d O d b �r� �� - <br />- Y - - - - -- � <br />No.--- ���-}_ ==— - �----- y-�-�-�o--- nwne <br />• f�G IrCJ��.V.•- .. _ _ ._.. ._--.... <br />Applicatici: cnd Connecuon by �j� - - - <br />Ac.marke:��'�-�1-%# f:<S :7G -._ --- - - - - - <br />Depih oi S���o� al Comecltan ' � _J <br />_. Licensee <br />� � <br />Connection made lhe- � �� � �aY ��- <br />By - <br />_ 'G - <br />- - - � �C���t�, <br />� <br />�yf.H.c. _. .19��. Examined and Approved by_..-�._V �6J �/J'l9.nc� - <br />- Sup�. ol Slroets and Sewere BY— �---��—i ����- <br />. .. �, <br />Inepoctor GG.� J� � . __.. _ ___-_ .—' -- <br />