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THE G� TY OF EVERE7 �' <br />✓ <br />Date�,? 3�% � _ <br />Skelch oE Proposed Sewer Connection for Building Siluated on LoL _ _�_ -3 _ ____— Block. , 3 <br />Diviaion or AddiliotL _� f�U/2� L—f� �1__�fl_2�3 _--- - --- _ �_ _ <br />No.— �/'y —(�/ � T �Ql�� — — ----Owned by. --� ._%� _ l.l%�Cdf..LZ/�'il/Tff ----- <br />Application and Connection by G" L. W/�E�{.M{%T�7� —_ ---_ - —_ __ _ Licensee <br />Rem�ke:— �O � ' ��,y,_,�er1iT_ _#iLBJLCW !LL _N_OT_ MA�E__�I�.L.—C,pN�,�--- <br />DepW ol S�aer al Connecllon � I � I � <br />��rr .�DM.�ttG�i,e.+�� 4, �i" <br />�Ql�l�'.w...- b.� GaLt lt t�l ' <br />�.Uc. �: ��y / ,l.�Cu.' �,�," /� ` � ' <br />4 <br />1 � �' � <br />�f'� �..�, ��FLIC.\f�S. N{wCv <br />� :Y�t-tLJ_� A.'��C.t���- • <br />� f- X�l X V �u� ,�.e-o�t,.;� �� E� <br />.7 7� nt4. o-� Yl e cuti...�.�. a G <br />d".,-�' A`..'� 4• �y� �Qn�� .��- <br />. �� <br />\/� // <br />s <br />�� <br />, <br />� � <br />� � � � <br />y �j� ,�.�„ <br />Conneclion made Ihe. (X4_-__day of. _ r. _. _19.��, Examined and Approved by.. �_..V�„�4Li�� _ <br />(L � � � / . �.^--�/' / �City Engincer <br />�l.b .�l��c'� '!L, ' /.^ <br />_ ___— _ _ . . . Supl. ol Strcete and S¢wen By_— ��T .a4/�J� YL <br />By'. ���. - ��y . . __ _ . Inepector <br />22UG2 - <br />