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THE CITY OF EVERE f T <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___ /= _rf _ <br />Division or Addition_ _. � j.'.:.� +_rf4-- Block-�L -- <br />No.— -- `� / Z_{ _O*ned by. ._.t� N r_�v cd ld <br />Application and Connection by_ __.._ 91ti_ ___.__- <br />Remarks:_ - <br />Depth of Sewer at connection I <br />l' 7 <br />Connection made the 5A.U.__day of. <br />By �.. <br />c t <br />�M 414 <br />ftu,L� <br />I -,I e <br />v y <br />ly Examined and Approved b /t Vllfi,�y�_ <br />��Ity 6nglnaer <br />Sup1. of Shecle and Sawen By .. .:� <br />Inspector 20653 <br />F <br />