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i <br /> THE CITY OF EVERETT ��s ,- _ ; �� <br /> SkNch of Propoted Sewer ConnecGon (or Building Situated on Lot—%'_`- �� �i _� � e'` _ <br /> Division or Addition--�( "�/l� � � /l � /' - • Block �� � -�.� <br /> r'!_ .. � , . � /� <br /> No._ - /_ . / o�ea vy_ � ,�---=��--� t r_ � .�;+� 5 <br /> Application and Connectioa by �-� ______ <br /> � /Rem�ka: __ -`-- -- � 1 __Rec. # � ���� <br /> Depth ol S�asr al ConnecUon 1 I I � <br /> J <br /> : � <br /> �i'1 - <br /> , <br /> i � <br /> �fo (N�P �� <br /> or /�' 1 �' ?� <br /> I �; <br /> � � ; � <br /> Connection made the. _ __ _.__da�' oi_ _ ____19_, Examined and Appraved by� ' ! ' � �'���� �� <br /> I . � CIty Eng(neer <br /> . _ . ________— ___. ___ __ Supi. ot StreeU and Fe�ien BY—____ <br /> By_._. _ ___.__._.._—._.____ _ —_lnepoclor _ - �`� <br /> . <br />