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L� <br /> , .� i � � <br /> THE CITY OF EVERETT <br /> Date ,1•� -.� " j� <br /> c��- <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot___�__�`___ __ <br /> Division or Addition__,���1:z-%�'�/ �'T�� _— Block_.� � <br /> C�C , �-- , , <br /> No.--��-'-�--C /� rr=..�.':S� "� Owned by_��_ '�c.t_1_—�_-_'r���c--+ _ <br /> Application and ConnecHon by_���_'�✓�� _- ____________.__ <br /> Rem�ka:_ '�_�_�� � � <br /> . �_ � ��t��•--- --Rec. # � �� ::�� <br /> DePlh ol S���eo at Connedlon � I I � <br /> � <br /> ' I. —I �� -�L�l L\ � �n.�rC.�� <br /> 7��vC s � i <br /> ��a� — <br /> y ��;�'' c � s ,� ss 9� <br /> •l'�s.��.� ���.r�.t. , � <br /> 8 u <br /> Connection Pernit Fec $ r O �'� _ <br /> ', Connection Fee $ -- I <br /> � <br /> � � � <br /> ' 31896 � <br /> Total Fee $ -- � ; <br /> Connection made the. _�l_r�_day of_ __ ._,s�_c�'�-_ _ _ . .1�'-. Examined and Approved by�%'�� � �� ��' �`-� <br /> _ City Eagineer <br /> __ __Supl. ol Slwele and Sowen By_ ____/ ' <br /> —�—�.— 5��. <br /> 1B,y—._'_�-,�(/S�b•��::-C���—.—..__-Inepeclo� � _ `� <br /> � ir. <br />