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THE CITY OF EVERE j'T `� <br />Date �l a /J i / t7w <br />Sketch of proposed Sewer Connection for Building Situated on LaL_ l_--- Block—ZZ <br />Division or Addition- _ Z✓=-._L. tD," A16, 2Z <br />No.- — _Owned by - <br />Application and Connection < LL'n,- 1 <br />_ Licensee <br />Remarks; G+!i' /r '`✓:i _-- — idn J%(•JF/ — -- <br />Depth of Sewer at Cona•ctlon I I I <br />L <br />TOSte4 <br />Connection made the / 7 . _day of. �w�Y_l9-f�_L.. Examined and Approved by A 41 <br />1 �Ity, Eagloser <br />-- ----_._-.._ Supt. of Slrsets and Sr•1wr�mf�c' 6 By <br />0y - - - _�•- LO/_ -- — -- tnspsnor 1 J4 - - - - — <br />