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THE CITY OF EVERE 1 T <br />Date <br />Ske ch of Proposed Sewer Connection for Building Situated on Lot if.___ l <br />Division or Addition- ___-k✓N 46 _.Bloc <br />Qy <br />ho.__. 170 S 43/d 50 <br />/ ------ -- - —Owned by- - Q/Y��t/36 <br />Application and Connection <br />k <br />Remarks:- -- - -- — /OXM Rec. <br />Depth of Sewet at Connection I <br />t6"4fitf <br />S Pt 41" 4a-&-w- • �� <br />�rtyRh <br />th k. UA_4� ktAa <br />L_ <br />(O_�_ Connection made the. day o!_ —_ _ 19 t° s Examined and Approved 'uy <br />lll��� City oginwt <br />----- - - - - _ Sept. of Stmets and, Sewen By i► F �' <br />