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THE �fTY OF EVERE .'T <br />Date— <br />Sketch of Proposed Sewer ConnecUc. for Building Situated on L-iL--1Jy 2 —_ Block—_ <br />Division or Addition—" ' <br />nh;'1,o In s "� I.1 <br />C 4 a f" F Owned by__J:J�i vh o N n; 5 1 I1 G' A _ <br />Application and Connection by �`�0Ito 7 5—LW, <br />1 �' (.�i �t . C f _ —_ _ Licensee <br />Remarks:-- _ ) 1 0 5 iC j_ �. o n .i f r •�,; -- <br />Depth of Sewer of Connection I I <br />ly a, 14-k . -M, -t <br />7�v.r, <br />(d 5 J <br />1 G 1 t t lel Misr 4e <br />I <br />Connection made the___2 K— day oLOa <br />—��`*^" —_19 � 3 Examined and Approved by_ <br />1� ' City Enginnnr <br />--_-Sup[. of Streets and Sewers By___�_u��f•.�" <br />........ 47G� <br />