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THE t,,, FY OF EVERE'o �r <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Block -- <br />Division or Addition_ _�� ���4= _,✓=L—__�= __-- _ _ ____ _ _ <br />No.__�� wZ % . L9C tl ✓ _(,fi� Opwnedby- Z--' —6- i__G— <br />Application and Connection by a R <br />Remarks: l 3 <br />Depth of Sc wor at Connection I <br />-��(:L 5� e4� <br />19 / 7 1 -� I <br />Connection made the. _'(-3AAay of_!'QT � _ _ _M&. Examined and Approved by_ R% COY <br />City Engineer <br />- - ----- - -- — ---" —. S'pt, of Streets and Sewere <br />HY .__ ._— InaC�.:tor <br />24414./�7' -%.•CsJ^ '{.G'p_a+' <br />' <br />in <br />