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THE C. rY OF EVERE T . <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_- t_ - - - <br />Division or Addition -- _-- _ --- - —� --- - - --- - --- Block. --- <br />No.— - 2 / 3 4 �. �� ••' !' - — - —Owned by_ <br />Application and Connection by— <br />Remarks: — <br />Depth of sower at Connection <br />i <br />1'1 1 off.,p spa <br />• `� �-�a.-mow �`^^ <br />`r <br />q ; <br />04 <br />Connection made theoLd (_—day of. _ +txy 19�� . Examined and Approved by_ <br />9-_- <br />UUU ��' City Caglnnr <br />Supt. of Sn"Is and sewers By- <br />- — ucl- Inspector 28725 -- <br />L'� <br />