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. i��3� THE IT`l OF EVERE <br />l T <br />Sketdh of Proposed Sewer Connection for Bulldinq Situated on Lot_. <br />Division or Addition_._ _+ ' - 41--/1-d--_ — - _ <br />No—/ /�L�-_-- �Owned by- - <br />Application and Connection by / u tit f Ili--����Y—.� ~ <br />�; �„ Z;'L <br />Date <br />Block . ZV71,ell L-J�t—!W <br />,tJ,o <br />—Licensee <br />Depth of Sewer at Connection 1 <br />4:F e ..r Jt— <br />y 1 C .6 , Qt 'k, I"(Lt- t <br />P-tr LLk-A <br />G- <br />y� <br />Connection made the. _day of. __ _\^J1.u` 19_ t. Examined ancl^,�4pprov d by 11__t1171-1 --- <br />,• 1•- /-✓ ��. l Clly Ea9�Nr <br />_ --�`.' Sei---- --- _.Supt. of SUeste and Sewere SY- _ --7 <br />SU <br />-- <br />-- -- - -- - - - inepeotor <br />