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THE CITY OF EVERE:TT <br />�� <br />��.�F ��_ <br />Ske!ch ot Proposed Sewer Connection (or Building Situated on Lol—_ 'r _____ .___ ___ <br />Division or Addi6ot� T � � � �' _--._. ._Block_� _ --- — <br />._Li_� _���__________y..___, <br />No._ �•' � � ! -- -----c—Owned by_�� � I 1 ��c- -- � �'=:� — -- — - <br />Application and Ccnnec4on by—� r�_„?�1 ��1 e �� <br />---__ ._ ___ _ .._— .._.. <br />��n�,-. � <br />Rem�ke: - -- ----------_ _ _ -- ___ __ - - - Aec. #�` i -- -- <br />Dey1h ol S��ve� at ComecLLon � ' I I � <br />� , � <br />� � <br />Connection made the. aX �'__day ot _-`"'�'ti��4�_ ___ _I9 _.y , Eaamined and Approved by_ <br />� <br />— . - �� � ��i _ . _. Supt. ol Sl�ccte and [S`e(w�aCn . Ay___ �,--4 a•_ _��� <br />By _ _ _ . . _ _ Y . Inepe<lor � � V O V -.—__---- <br />i!: C t:l��— <br />City Engincer <br />