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I <br />TIDE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___,l�2 �— Block <br />' <br />Division or <br />Application and Connection b�__ <br />Remarks: -- <br />Depth of Sewer at Connection <br />by <br />t, <br />Licensee <br />Connection made the --------day of - 191 A�- Examined and Approved b <br />- / Supt. of Streets and Sewers QY <br />Inspector ---- - - <br />v <br />