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�.�.�- 1'� , ? GY�� THE ;ITY OF EVERE�. T ��:,.. ��; ; ;� : , ✓ <br />�(� Ji , Date <br />� � �b � � r <br />Sketch of Proposed Sewer C/onnection !or Building Situ/al�ed on Lot_ __ v--- __._ _- — B1ock_ ___G �� _.-- <br />; l,'i' l,��ii,�.t./. l"��='/ <br />DlVleiOa O[ t1C�Ci1fi0II_.— ' 1 -- <br />�. ,.� / • .�~ 1'j i�7/T:� f! `�'{ �/: i i � Owned b . �,( !J <br />No.— __.-- - _ Y--f'�'`� � � - <br />,t -- �--- -- <br />ApplicationandConnectionby_ ��' �-�.{:-1•�iif �t�=i�'4'��f�''f� `��'--�t��'` ----------Licenaee <br />V,!". �r rl:: �-� . l �'� . _� ���:.. U <br />Aem�ka:— ---- -- -- — — -- — — <br />I . i � I <br />Deplh ol S�ae� al Comectlon <br />��' (� CL:'.�[C l._.F-..._' � :�{Ki.� „ <br />i�, ����.lM�"`���!'tic-..l' �<.. , . <br />�� � _. 1�.�. � .. , <br />� C_ S I��.f.: �O + `I'- L�•� . <br />) <br />� <br />(j ' � 5 �=.'. � , �: �; i , ., , . <br />l�t ,,�:,_�,4 <br />.� .��_. <br />� <br />� <br />� <br />nL <br />' \� <br />__ I � �J/�'�r.Fjr/:/f ���•^ i J I <br />�i�� �� _ _ � � <br />, �, ti - ;: ,' � :.- ' <br />. %fr` , <br />Connection made the- _'_ ___day of_ _� '- _ _� --_---.19.�--` .. Examined and Apnroye3 bY4. —_'- — - <br />� � - �� ��� Qty Cr.qincm <br />.� � . •�. i . .: .� . <br />_ �._ �_ : p- l.t ... _. _ . _ S�pt. ol Stm¢te and Sewere BY —f� - --- -- �----- <br />_ , 1 ( . <br />By'.—_ _ _ _ __ . _ . _ _—_- _ . _ _:nepecio� — — — <br />—�_ - _ f ___ _ 1 �fs <br />.�,�,. f,.i,,...�.�.�- 1:.t�.'.lO� <br />. /` <br />