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THE C dTY OF EVERE i f <br />Date ? ' <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ -- B oc <br />Division or Addition—_ <br />No._ . , " Y Owned — <br />Application and <br />i Connection by-- <br />Remarks:_.—P— <br />Depth of Soviet at connection I <br />A i l <br />C/ - f y - (,'/ <br />------ ——, ---- --Licensee <br />I <br />Connection made the. I � _—day Of__._ta. ___ — 19. sue—. Examined and Approved by. V r �/ ✓r ✓1 <br />clfy Engineer <br />Supt. of Streets and Sewers By— -- <br />Inspector 22384BY—_- - --_---_.-_. - <br />