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THE CITY CE EVERETT Date < <br />Sketch of Proposed Sewer Connection for Building Situated on Lot----?- <br />Division or Addition—rr' / —Block - <br />No.__ _— _—lL—L-r = Owned b _ <br />B,pplication and Connection <br />Hema;lr!+� <br />Depth of Sewer at Con+coon <br />v <br />/II . ' - <br />� 6 Al Rec. # <br />I I <br />S <br />1*b <br />7 31583 <br />Connection made the. ' / -- .day of- 1�, 10 _/. Examined and Approved <br />city Engineer <br />_----.----_..Supt. of Streets and Sewer$ By _. <br />By Y,//, c/- . __— Inspector <br />_ _ .. ___— <br />