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� <br />�C"HE �ITY OF EVERE .'T <br />Skelch of Proposed Sewe: Connection (or Building Siluated on LoL .- /__ --- <br />` � J <br />Division or Additio�._ l�� %: �1 � �/ '� �--- - -- --r/ — - <br />No._- l ' �� � l ��/'� �. ... � _- -�Owned br. __ . _ISY� ��� ( <br />Appliwtion and ConnecUon by L�-��'- �o �//_/�� ./��1_ . <br />Rem�ka:---'-- �-/1 i/ ::�: '�� �---=� — �, =f - ` ' --- --- --- <br />Dapl6 0l Saaer al Cc'madton I <br />J <br />rc�c" C�wvNtc;t�.c-„ ".�C G �. <br />�-�,1w:�.�- a�- �.aa,t' ��u.�� <br />�.�. .( ' .�•a-2ow- a«,�,� cA� <br />�, <br />4- �-}'J , z�-v�v.e�'� a-e•-�� <br />f�-�- io %.c,��t.. ���..a;....... <br />,; =, <br />Date i.,Gc � , . . � , <br />Slock -2 , ' <br />_ �— __-- <br />r ' <br />��:�_ �� 1�-�, . � j I ,--- <br />-_ --. _ _ ._ -- -- Licensee <br />I/..fl�'/i/�� / �.� /�.S.J��I I <br />—I <br />L.� <br />- ✓,r'_—� J -I— <br />� <br />J ( Ll� ��j � :' <br />Connection made the. / � -�. _day oi _ ��'�'�- -----19 �0 �. £xamined and Approved by_ _-'J-� �'—=a-,'��- � � <br />' V � �'�1qiry Enqincer <br />�j,q'�� ��� � k <br />/�`�""'��� _ Sopt. ol St�oMs and Seweie By _ " ,� �rfFL_ . _ i�-r�i_�—� �-- <br />B __—' . � _���...�� _� . . Inepecb� � J J U V ' — _ __— — .. --- -- <br />1� <br />Y_.. y <br />