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THE' ITY OF EVERE .-T <br />Date <br />Sketch -ol.Proposeu Sewer Connection for Building i ua ed on Lot -t-le'_ Block -- -- --- -- <br />Division or Addition_..7��T�- 4 <br />7, _ _ owned by--- , rJ J-.f/-- — - — -- <br />Application and Connection by f e_�li �- y=�— / �� ---- --- --- -- '— —Licensee <br />Licensee <br />Remarks:_ 4 IL <br />` /. I <br />Depth of Sower at Cenneceon I ". {,% l /� 14 • � � �' .a � � -.. <br />J , <br />Trr te, C <br />We 1�. M r e✓au.uu�Ga.. `L7-�.�. <br />is <br />a.x •�e..0 &,..,a. <br />o �- <br />v7 <br />X <br />--I F <br />Connecion made the-;qpp�p� <br />�- `k -day of- ._ ._ .19 t Examined and Approved by .—/ <br />VVV city. Engineer <br />Supt. of Slreelr cnd Sewers By _^'_?.'fit __,-Of ± <br />By Impeelor 19141 • -- <br />