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THE CITY 4F EVERE !'T <br />Dote <br />Sketch of Proposed Sewer Connection for Building Situated on Lot � �.._ Block <br />Division or AdditlotL,L_.A_.-I /�.1dC—/1Q� _,.�_ -_ <br />—Owned by----42lGi — . <br />Application and Connection <br />Remarks: - <br />Depth of hewer at connection <br />dLt i1KHr <br />T6 Sf� <br />I <br />Licensee <br />I <br />Connection made the. •3J__—day� of __ . 19-4j-. Examined and Approved by_._J_1 d V� <br />__Supt. of Sueete and Sewn BY_—_iy--{i�`e� 1N Engineer <br />eY-- --- —-,nep.ntar 19254: <br />