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/t4- / e— L5 •- S_". <br />THE �ITY OF EVERE _ T <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition Block <br />No- Owned by <br />Application and Connection by <br />Remarks:_ Bec. <br />Depth of Sn f at Connection I I I <br />3� <br />_J- <br />Connection made tho �'6 > day of - Lr-. ` 19 4 / Examined and Approved by <br />City Englnser <br />_ -/j, - _ - Sup,. of Streets and Sewer, BY <br />By /to V—c.CiLZe.�R!-,�.� Inspector --- — - --- ------ <br />30181 <br />