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1�1� <br /> .. /�%-i�- � e - � <br /> � <br /> � �,� _ , �?` /�r�THE CITY OF EVERE�T Date 1-,� _- � - <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot—��------ - - <br /> -_=,�� 1' --- <br /> Division ox Addition——�a —<'� /�- ------�-----B�ock— <br /> �1_��-" � ' -- - <br /> No.— it:c3G,�✓ f� _OwnedbY-�,�L-L✓5------- <br /> APPlicaGon and Connec6on by /' �'�i`9�f ---- -- - --- --- ---- <br /> . �" - � <br /> " ` JS� i <br /> Rem�ka: --- — — ¢ ��~ �-'�'LIY- . --- ----- Rec. # <br /> Dept6 0l S�tiei al ConnxUon I I I � <br /> J <br /> y .k,�.� �' :_.�,.,�✓-� <br /> /, ',. ,�.��.✓ .,.,+. <br /> ,,� <br /> > i > � �-L Y <br /> / . <br /> r,.` � �_ <br /> { -..,l.i r .e-..-- .`i:,—.!.. <br /> v� � /i � / J A -//SAf(�I� <br /> I <br /> ��� <br /> Connection Permit Fee $ 3C'' — <br /> Connection Fee S �� / � <br /> � � c� 3179� / � <br /> . Total Fee $.��—' <br /> � .� �:l r�iC.�•�; �'J <br /> Connection made 1he_ .-c..?_—day ot_.��_- -------19,�. Examined and Approved by_l — <br /> -� Ciry Enginccr <br /> /�- <br /> '_____.____ __ __. _ ,__________ .— Supt. ol Slreeta and Sewen BY �� <br /> �1_ �_���%��'J . Inepector � <br /> ' By_'_' . . . .. _ . —____. ._. .- � �� <br />