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v <br />THE C..iTy' OF EVERE�, r Da�e— -, i'��--- <br />�� �y � <br />Skelch oE Proposed Sewer Conqection (or Buildi ,g Situated on Lot --- - - <br />_ Block_ - _ — <br />; i . i,'� . �J_�Y_l�'f/(�' --- � -- ___ . _ ._—. <br />Division or Addition , � - � /; ' <br />fi.3�C) i�- �� � --- -- --- Own�by - %�'l/. ��i/'(.S!('?�- ------- <br />No.__ �' `-- 'I <br />,{ S!_�,.uyL �3_,L:E�i_t_�A._)--_� - - . _ Licensee <br />Application and Connection by_--5���-� � <br />Remarks:-,U!;-A ��"t�� �`: SL?(J__ _ . _ _-. - --- - _ . . .— ---- <br />SS' — �. 2 J <br />Dapth ol Sawar al ConaoNon <br />� <br />[.� Q�ei�n� <br />,.1. •--" 6 " "" <br />�, G " <br />`' .. �, t,7 . N.a,,u,z� <br />����.�. -� C�A . <br />�' <br />� S�. �, ��� _____� <br />-__ {__-_.___--- <br />�Ll„y,�� � U i�4{ �-ti..B� <br />��-w � ��_ <br />� E� lIM+.L:�I.A-�r <br />�_4�- ,f- •'V��u ��. �. <br />_ _I <br />� <br />— —�--- ------ ----- i — <br />� � � <br />� <br />,{ , i <br />�� ���- .19� �. £xamined and Approved by __�-+-�=/� /-�-�a ��-- � <br />Connection made the �V • day of _��� -- _.,�iry enq����� <br />B - �� <br />� . Sup1. ol Streete artd Seweu Y <br />c:�i- <br />_. ._ . . j <br />/.� � �Y Inupuclm � � - - - - -'-- � � <br />gy .. � �;?f;31 <br />