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THE s_.ITY OF EVERE . T Date-_Za <br />Sk 4 of Pro ned Sewer Connection for Building Situated on Lot Block_ - <br />e t pc <br />Division or Additi-n. - <br />J-�_- Owned by. <br />Application and Connection by3�� - ----- <br />Remarks:----- -- - �/D `� �_�+�✓N. <br />Depth of Seem at CeamttaSos I I <br />4It t0A4ka <br />CS PAft, aA SAeZA <br />a to A_&u_A- A.A ,-- <br />1 1 <br />Licensee <br />Connection made the �3 _day of.._Pit -`�'— 19 1 . Examinrd and Approved by_ <br />City En4Nsar <br />Suu �/ pt. of Streets and SeweBy f <br />25073 ;'dL y . in.p.a,ar — <br />