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THE CITY OF EVEEREJ f <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition_ <br />No._ _1—_—Owned <br />A;ipllcation and Connection by i -t .�. <br />Remarks;__ h tt r '_ . C,c n. n.•. rc <br />Depth of Sower at ConnMlon I I <br />4 ' e *U,,, t 6 " ."o &.* <br />4Awt4, to k&U-44_ <br />r.. <br />t <br />Date -- 1 ` .. <br />Block <br />Rec.» <br />G ✓� f <br />Connection made the `�O - _day of _ .19_. Examined and Approved by K �_� ( _ •- __ <br />City Cngingr <br />_ Supt. of Slram. and SewersBy f- �Vsr� 'ter, ,,,,,,� �r <br />By . Inspector 26015 <br />