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THE CITY OF EVERETT <br />Date <br />Sketch of Proposed Sewer Connection for BuildiV Situated on Lot n�_l�.' �J Block <br />Division or Addition <br />No.�T— <br />Application and Connection by <br />Remarks: <br />Depth of Sewer at Connection <br />o L' s-e <br />C�o17111 <br />Own by p --- <br />% Licensee <br />r <br />O <br />F 10350 <br />Connection made thej!t day of Qet -/,6 192 -_. Examined and Approved by <br />aupt. of Streets and Sewers. By <br />By Inspector. <br />f; <br />'i <br />yr <br />