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THE `.ITY OF EVERE . T Date ro/./� <br />- <br />Sketch of Proposed Sewer Connection for.Building Situated on Lot.-_-_ ��Y" �'Z P,'.o-k_ <br />Division or <br />Addition— � we ��✓' -- r� <br />Owned by <br />Application and Connection by a ' "'r <br />Remarks:! ---- --- <br />�oo &# <br />y7s - <br />2J <br />Lepth of Sewer at Comee7lon <br />°Le�uuu.Lr.�•-- <br />� b'r <br />Cormeciion made the. <br />v <br />Licensee <br />I <br />41 <br />day �of.._ 19 "' JV. Examined and Approved y `' a .eb �✓/h <br />---- <br />�Clry Engineer <br />_Supl. of Streep and Sewers By-- -- —�.-- — <br />