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THE .:ITY OF EVERE ,'T <br />Dato <br />Sketch of Proposed Sewer Connection <br />Connneecction for Building Situated on lootaott _ Block ( --- <br />Division or Addition —Al'L--1� �—TT Atz — <br />No... % c Z 7-63Ce __owneaby---1�c�_r�,c�_- <br />-- <br />ApplicationandConnectionby_—Lo wre,toC? OycS11_ _- __.. ___-__—____Licensee <br />Remarks:_—%:ss:_ <br />Depth of Sewer al Conaeeeon I I J_'Prr;,vY fri 1,4467 l 1 <br />Y CG o r z' 71 e�1ai o� C suucfi <br />Ca .�yA'r,.�►..y <br />Connection made the.-1.__day of_ _ <br />8y <br />k <br />Examined and Approved by <br />'--y'' /�Cfty Engineer <br />Supi. of Streols and Sewers By �+•� ems! <br />Inspector 19572 - - - <br />_ <br />196 1 <br />