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THE uITY OF EVERE'. T 4 <br />Date Z1 1.911 C <br />Sketch of Froposed Sewer Connection for Building Situated on Lot _ Block-9 --- <br />Division or Addition L o u r e l �__"j. A <br />i r[ -- ' 1 <br />No._ 'a � ZU' 3 re5-r --- _Owned by_�J�__S.9Y_51211_ — <br />Application and Connection by 0 r-1 01 e 1 - -- —---------- <br />t r t�• <br />Remarks:__._ 1 Brm• i' 12-- <br />Depth of Savior at Connection I <br />Y <br />I'ry Pl-� <br />T-1 <br />.Licensee <br />C <br />Connection made the. Lt=_ day oL_ --- _19`e'. Examined and Approved by_y .,IV1 n <br />City Engineer <br />Supt. of Streets and Sewn Sy_�_CJ <br />By Inspector 2 2 J 3 3 <br />