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THE CITY OF EVERE=TT Date_ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot -- Block <br />L.vision or Addition __ --------.. — <br />.. I / <br />No. _—� _� l D _—_�— Owned by <br />Application and.Connection by------ ------ -- - <br />- ♦ w i..a.�.. <br />Remarks <br />Depth of Sewer nt Connection <br />Licensee <br />I <br />/L. '/G A. c' <br />i <br />-777 <br />!t <br />Connection made the—/ . day of 192�. Examined and Approved by _-_-___y City ngfe"r <br />� r <br />Supt. of Streets an By _ • ' -- _ _ <br />:j�ispsetor.— <br />Iiv e <br />