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� <br />1 <br />THE �:ITY OF EVERE �"T <br />� _, nate �-i'—�,�. :� ��,- �• i <br />Skeb.h ot Proposed Sewer Connection !or Buildinq Situate,5i;on Lot ___ _ . . _ � Block—�=�_� ��� ,� � ! `/ <br />y� �.� i. � .�.., <br />Di�iision cr Addition. , '� j�i`:�j : !%� , ;r',.,f, / �, ,.{ �, <br />1 ��'?'� �-.�'�__' -- ---- -- <br />No. -- -- - — -- v� . '}_--Owned by ��P—�i—�r,1 ������ .�'_ �� %"4C <br />A lication and Connection b_ �`"� �" I� f r r�;�/ i� F�'%r�'/ <br />PP Y - # ! � J� — — -- �-- - - - —. Licensee <br />Rem�ks:— ----- � f`r �l �% �.' ^"": �: r� /.� �� <br />� , , �• . <br />_". — /- - <br />� — ----- <br />Depth ot Sawor al Connoct(an I I I I <br />, �. b-6U�.;.i C ;.n ..L Ls <br />,� - <br />�::���.,5:�,,._ '� � <br />� <br />'� ��`i�7 ��� 4i �1�_.�.i' <br />. �� ; e� t•* �� - ��� <br />`:1 <br />I ` ':;-' <br />� <br />i � <br />�:' i <br />r � i'' G + <br />u, C •\ i: , <br />�► , f� t 4 <br />� �7 <br />� }� �J� � �'Y <br />.� _:M <br />� i %. , .I � . � <br />. % •� / <br />, .; __ . r . ., <br />Connection made lhe- ��_:�_day of_ __�-` i_ `-`.`- �-- - _19 `:�_%. Examined and Appzoved by_ _ �. ? _`_'- � __ <br />� <br />/ l �� -� � + � ��' Cify Engineer <br />''- . '-'. _ -�� e.. 7' - i . G�.%. . � <br />. — . . - -- _______ _. _.Supl. u[ Slmote and Sewore BY__ _�,._. ' . ., . <br />.._ /: �� • _ �_— , . .; <br />Hy—. —�_ .� C .. '_I'_. . _. _. .. Inepoctor � / <br />� ,,.,,,...,_ .0 1'7464 — — -- <br />