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i <br />THE (.;ITY OF EVERE 1 T Date �� <br />Sketch of Proposed Sewer Connection for Building ,pituated on Lot_ Block — <br />Division or Addition_- <br />No. --- --Owned by <br />Application and Connection by__.L °> ---- <br />Aemarke:. —__— <br />Depth of SOWN at COneMba <br />t <br />------------ <br />- i •T <br />4 <br />Connection made the _-__day ot_— .--- -- ----- -19 _—. Examined and Approved by ...-���yyy����-r---- �/ G City Engineer <br />/,. _.. <br />Supt. of SUNu m and Snw0y j•. _ __ _�.----- <br />- - -- --- la.pwtar 95060 <br />By <br />Licensee <br />L. <br />