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THE �.^lTY OF EVERE=""T <br /> Date ,i <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot = - " —_ - Blocic__�_ <br /> Divieion or Addition ' '� ` ' __ <br /> No.—_+�fl�=/"';-,-_ Owned by. ��;. �:�: ,..6......^" <br /> Application and Conneclion by �-j'� � � ' ' —I.icense <br /> r <br /> �.�;,i <br /> Rem�ka: i��•% i. _i/:' , , y . � ,< ; �.� <br /> Dopth of Sewer at Conaocttou I I .I � <br /> � � � � iS /. '1 I <br /> � .. � ( <br /> `i <br /> 1 <br /> . � <br /> ' � '�, <br /> � + -� <br /> , <br /> / � <br /> ' Jf . <br /> �, V�,��I �� � � j � <br /> /r /� I � I <br /> F' <br /> j �`l ' i � ' <br /> � ' 1 � i <br /> , � 1 <br /> � ' i � � <br /> � , � � <br /> � � �r} �l . � . �,i <br /> �; �� ��f �:I f <br /> I � � <br /> , � <br /> �; , �; <br /> ' I �v .. , . ; r I <br /> I I <br /> I � <br /> i i /��� <br /> Connection made the�—day of ', '� 19_1_;_'.Ex�nined and Approved by__��L 6rs __ <br /> /� _J C�fy F•nglnecr <br /> supl. of Slmots and Sowore By_—_—_ � � � f� C1"v'�+"� <br /> H � �Y� "� .�� �� �I impactor ')r f) — . <br /> P .Z.iJ`fu <br /> e����e+.�e nn��aoe. <br /> f � <br />