35-021 (6) THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY of ..........................................
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!i I a. TaqAtruyawn Pamil FEE........................
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P(-T-II,I,,i()n 1S JVr J)y grnted...... ...
irill(lividil; I)Isosal System
99k;1" jlsywa
to (-()11.,tt-tict LL") ; llyr .................
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-A at No.— .
Construction Permit IR Dated Strcrt
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a�, :Jiojwn on the application for Dispoj-,,jj %Vorks
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DATE--------- -- ---------- ---------•------------------
FORM 1?55 A. M SULKIN• INC.• BOSTON