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THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Dh+ision or Addition --- — - <br />Nc. _ - -- - . _ -_ Owned by <br />Application and Connection by <br />Remarks_ -- ----- -- <br />Block--- <br />_ Licensee <br />Depth of Sewer at Connection I I I I <br />I <br />I <br />Conn lion made lhq day of �_ -- 191/1 I:.Aamined and Approved by_..'' — <br />�� Supt. of Streets & Sewers. 05261. City (fngineer <br />yLAZ Inspector <br />