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<i THE %;i rY OF EVERE A. i ,g , <br />e � <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on LotL�� ------ — Block <br />Division or Addition- L j`r �~ — - <br />, <br />No. _ �'Z ��7nr5rs Owned by <br />�4�l. <br />v/b�-- ��- <br />�Ii YIO�• � �^ Lry. ,,:., � ----—.1.iC8IIBe8 <br />Application and Connection by <br />u.�/ <br />Remarks: Y, I I <br />Depth of SewBr al(f Connection L <br />as rs <br />J (1701_a3 f� <br />i s / t <br />Connection made the_ _ 19 day of----Y`- 19A-E-. Examined <br />__-sap,. of Streets and Sewerr@ By <br />By inspector ? J V 4 <br />and Approved by <br />City Engineer <br />