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� �J�,��,yi KG�� <br />S&etch�f Proposed Sewer Cona <br />Dicisioa or Additiod % <br />� �.�x <br />No. •-� <br />AppGcation and Connection bp_ <br />Aem�ke:_______ <br />Dep16 0l S¢noc at Comectlon <br />i� <br />4 C,C'�,f.LG�-C-�-�- � 6�� <br />THE CITY OF EVER:..TT �1e �—h. � �� � <br />� L'/ <br />E. � r f� <, �i� i�.r'f�`� ` � L <br />ction tor Buildinq Situqted oa I.ot� �� 1_C ff'�5"U _ Block—r '�� �y���f <br />�� / �+ , <br />1: L% l/I'V/f a{J �/1�z'/�� f? �'I <br />by_—r l. ���iri� _ <br />-- — --Licensee <br />� <br />� fiu.�,�'.,.. �� b.��4. <br />,� <br />(z.+fi�� � ;,�.� 4 � '� , <br />�" K. �. c, �� ,f�:�.. t, <br />,1.�..,�, ��.w : <br />✓� � � =�T�� <br />� <br />Conneclion mad/e the_���R day oL ���u��t ___19. L� . Examined and Approved b,X_"• R•'__' ;', ,/�-'� <br />—_-- t� �% i � —_—__— '..' "' , . � Iry Engineer <br />��'��t'«'; �upt, ol Slroote and Sewon B �� '�� ���' <br />y—_— — _ <br />By_—_____.____._ __—_._Inepecbr � <br />�.� ........�.,.a 18498' <br />