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THE (..ITY OF EVERE'e T Date Ales- Ile. <br />Sketch of Proposed Sewer Connection <br />Connection for Buildinq Situated on Lot l_ _1— / ¢ -_-.— Block1 2— <br />Division or Addition <br />/ y_No. 3 Owned__ `�'r°'n 6•' ____ <br />Application and Connection by /�`! !/inn.. •.�/ __ _.Licensee <br />Remarks:—_-- <br />Depth of Sewer at Connection I <br />qof <br />C.. 3 �.f )I m1k °$ Vottk <br />- 6 of 0y <br />Connection made the •1 _day of__.— _— __19`1y. Examined and Approved by <br />,FI, ; Engineer <br />2(j 7 <br />Supt. of Streets and Sewe,e By - — -- <br />_Inspector 22401 <br />