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THE CITY OF EVERETT <br />Date- <br />0of Proposed Sewer Connection for Building Situated on Lot l� '-! / _ _ - _ Block , <br />Division or Addition%�/-: -r. <br />v <br />No. <br />Application and Connection by <br />Remarks <br />Depth of Sewer at Connection , @� <br />r <br />_MM <br />i 1 <br />.y <br />y <br />_-. lip <br />Owned by _- <br />I �t� <br />!f �1cc <br />Connection made the— -day of , -/ 192T. Examined and Approved <br />Sept. of Streets and Sewers. By _ <br />By __—__-- Inspector. <br />Licensee <br />I <br />4 ? <br />2J'2.j <br />Engineer <br />