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THE CITY OF EVERE'17 � <br />Date Z 3 A 4 L4 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___ -L 7 _ Block__ ' _ <br />Division or Addition- <br />� - V- L�_ � - A C 1Z S 46L 'Z _ <br />No.__4C.b(-y_Y__e--SZV I eSA-L-D-2LV-IE--Ownedby-,�!LO_W-�1i2..(�_Gi%�,5 <br />Application and Connection by Sd M tE <br />Remarks:_ 10 0 C_[> (5- 2 W1 t 1 I-CJ Fl _ <br />Depth of Sower at Connection I <br />-licensee <br />Connection made the- day of_ - ""—__19� tr .Examined and Approved by_X-t _60L 1 kt <br />1 � (� City Engineer Supl. of Streets and S¢were By—T �S3J �dI d - <br />