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THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ Block <br />Division or Addition_i------------ <br />No._ --Owned by — <br />Application and connection by Licensee <br />r <br />Remarks--- -- -- —.. — — —------- — <br />Depth of Sewer at Connection I <br />i <br />Connection made the—/--2 day Examined and approved by <br />City Engineer <br />) .� � Supt, of Streets and Sewers. (� .1 ; i J By <br />y -Inspector. „ <br />