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THE. C_iTY OF EVERE T �J� M14 <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot-B 9 ¢ 3� _ - _ Block <br />o n <br />Division or Addition_ <br />No._..`j 2�a Ownedby_�icnlY._ <br />Application and Connection by -- —__-- _ __ Licensee <br />Remarks:--/ O ° k.? M. ' i- 4 X„ 3 <br />Depth of Sewer at Connection I I I <br />e tit- to. G " -;-aku.•t--a- <br />�" G�•S�t cSf" to <br />°Ca4 �-eft_=_ _ -19 �° `l. Examined and A roved b �� f •� �'tr` <br />Connection mode the. _jday of-- PP Y-- <br />•, � � sI,!� C!N Engineer <br />Sopt. of Streets and Sewn ➢y V-L <br />By __ _._._.—_a..__.._--1 Inspector 22759 <br />