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THE �.ITY OF EVERE'� T ✓ <br />Date-f� �_Z��- <br />Skelch of Proposed Sewe: Connection ior Building Situated on LoL _ ��- -__ __-__ Block_ ..�1�'�.-_ � <br />Division or AdditiotL-_l�Lq_��E_L____1-�E��7� �_- _-�Q�-`--- --- ------- <br />No.- --- 5(O Z. O V1 ��%'1 U � �-- -- -Owned bY - ��1 �i Nl�- �t � i> D �+ - - <br />Application and Connection by—L-_�.-_G �.,� �___- ----- _ - <br />�� J � �r � <br />Rem�ks:_ �I.�`' �.`"_��-`-- ��'' -�Z�7� - - -- <br />Depth o� S��ier al Gonnetllon � I I <br />�-'' �eu.�..�..c�R-•-- � �, „ <br />�� �.� � �.�� � <br />n �{ � � �-t�' cu:- (a-W��'+- L <br />Y-�.�G. L <br />n <br />�� t'1. C.o��.c�.t.�e. µ.aw�+� - <br />., , <br />�. ��, {� ,�,,,,,,1- �,,.,�,�,- i <br />� <br />D��� <br />,�, <br />�, <br />�.�=--... - .---� --� <br />.___. .__ Licensee <br />i <br />�� � <br />Connection mad�lhe. ��� .day of _�•�'�p'�^' P'-y� �._ .-19 ���. . Examined and Appr� d by_ V� C O_L__i��= <br />a U .-� / �} City Cngince� <br />N-�K�lf _ Su t ol Slrecls and Sewnereqc Hy--f�} i- r`' ��- <br />py . ��� . _ Inepoclot � � J J J . __ _ —_ — —_ - _' _ '_ ' -__ <br />