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THE Ch j'Y OF EVERET', <br />Date — <br />Sketch of Proposed Sewer Connection for BY Idinq Situate4 on Lot _ _ <br />—. Block—__._ <br />Division or Addition_ -_�% / ��� l Yt/ ( Cf✓� <br />No.- --��_%a.: ✓ Z/ _Owned by <br />Application and Connection j by L B . �iTI .✓ <br />Remarks:f/<.�ei . /•iCJ 9,3 _----- ---- - -. Licensee <br />Depth of Seger at Connection I <br />[r.11il <br />' � r A-L 1 <br />C1( Ite, (1' = <br />4 <br />f7 <br />�t <br />Connection made the 4° =day of <br />By <br />eT/YwKlc' 19� -i <br />---Supt. at Slme:s end Sewer' <br />-__Inspector 249.30 <br />1) <br />31, <br />r � <br />\t <br />Examined and Approved by_ At/ <br />By. - _ -_ �./r �yIC �G vineer <br />