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THE CITY OF EVERETT Date 41_��, <br />_ <br />Pketch of Proposed Sewer Cs ection for Building Situate on Lol <br />Division or Addition— //-- �� Z& .r_1T —.Block ./73 <br />No.— � O r/�T r7N�/4�� Owned by-G <br />;..:olication and Connection by <br />Remarks:__ �a50'--', t6�aJ Rec.# <br />Depdr of Sewer at Connection <br />Coll) /1 EC 7Jr �d1 <br />ivS ceQ <br />Connection made the_ -z——day oL 19_L�L. Examined and Approved by � - t•/1V / <br />/ City Engineer <br />__Sup]. of Streets and Sewers By _ <br />___Inspector <br />