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THE T v Y OF EVERE fT A <br />Date --A, 4—? i, , <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ _ µ I2 __ _ Block _ <br />Division or Addition— <br />No.-- f,.i. prr.r <br />— - - ----. Owned by- i -Y �-- -- ------ <br />Application an: Connecticn by__ ��'e�r�--___-----------------_--._—_ _ --_— _Licensee <br />irnm.e�La• 'A —'A -—0, li! ♦ -AL tv W. r /I e/ <br />Depth of Sewer at connection I / <br />! <br />AAA- ,.j- <br />G" R.Ad. t t zL <br />r1 Connection made the. 3 4-day of_ -- — 19 G I1 Examined and Approved by <br />.—..Supt. of Slrnts nd Sewer By <br />Sr ----- -- 1-(,���rV� • - ---- — -- - Inspector 19 i2..�)7 G - -- --- -- <br />0 Caq nr <br />