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THE C .T:' OF EVERE-iw <br />�- e Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lott r7. 3 t. 3 Z_ Block_ <br />Division or Addition L A T' ` r- r- L!7 F, T 'r <br />—Owned by 14 6 15 I N <br />Application and Connection by 0 n C !� <br />_�^. �j —Licensee <br />Remarks:_ _ A ^' I v' �� %� Nt i t� /(I -- <br />Depth of Sewer at Connection I I <br />V <br />Connection maea the- /a�'_day oL_ <br />_ ��1ay19_':_. Examined and Approved by <br />h V �• J: V <br />!.'� <br />.F 1 I) <br />_City Eagiaeer <br />Sapt. of %eets and Sewers By rr <br />By <br />