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4 <br /> THF_ CIT`i' OF EVERETT Date t'1� �, ►'�L <br /> SL-�tch oE Proposed Sewer Connection tor Buiiding Situated on Lot_ -_____��-�-��— Block �� '� — <br /> Division or Addition---���— � � �` t' �""f�""w''�`—�'�'r/ /}� <br /> � / d/ S <br /> No._—�_��_�—Gr'Gi_,_-u�_- I�—J�,---------Ownedby—/��r:�_�(_--L�" -- <br /> Application and Connection by— ��_ �� ^�"��'�—----- - --------L'censee <br /> Remarks:—--- <br /> ���_ L_r�_ � 1�..� �, �-�- --- - _ _---- - <br /> � Dept)� ol Sewer at Connoction I I I � <br /> / 1 i� � I <br /> _�C!(.�(� I \ (�/i')�l' .. <br /> ` —! I 7 /�(I �� �, u✓L` <br /> I I <br /> ` '� '• <br /> l <br /> ��� 11 <br /> � �� �. ' <br /> /�ti'� ' <br /> ' �+ .: � ir•r� ;�'3� ��yk � <br /> I , / , <br /> F <br /> �� �{ � ( � ��� 1/� �� � � �1 <br /> � �y',, �� ti K� "�� ���' ,�. <br /> N ,�r,�- r <br /> � <br /> ��e'fVWe<�w nlvt,d�e. 4v <br /> ' __I ��Ur "��e�'_ �i.l( _ i_ <br /> I � <br /> . � <br /> Connection ade the__��--day ot__— J/Ja'`J _I9_5�Examined. and Approved by_ . _y'1�-�-��� /v��� <br /> � � � r „ ,Y,AJ/(�. Cily Eng�neer <br /> ' �_ � _—Supl. ot Streeta and Sewera By--.�� � <- �-�-��—/J `�r• <br /> � -� �� _:n�peclor <br /> . By_..._ _ _.-_ <br /> .� ,�..........�.....�.�.. ...,, ' 14503 <br />