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THE CITY OF EVERE 1"T01.50 Dole <br />_✓ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot..__ Block—_. <br />Division or Addition _—_ —_ ----- — <br />No.— -/a — % j /2,) > ---Owned— <br />y—�-__�-DES------ <br />Application and Connection by_ :it/�r--_-_--_— __- ____ . __Licensee <br />Depth of Sewer at Connection I <br />A <br />`n P tll�r�9�%`tir <br />�w4,�.. Ma� c.►x.w to <br />,� .c.��, <br />CuNN� <br />0 AR 7 k�AleC�4�_ 4'1 e <br />Connection made the --day of- _ 19 _—. Examined and Appro ed by <br />._City -Esalnser <br />Supt. of Strseb and Bewvr By___:_ <br />By _ __`_ C _ ""'f Inspector 6,15C4 <br />