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_ J <br />r11 <br />7 <br />THE CITY OF EVERETT <br />Date <br />Skeicl• of Proposed Sewer Co ection for Building Situated on Lot -s- S� _ <br />_! ! Block <br />Division or Addition— <br />No.- ——30��1tti� Owned by_'_` <br />Application and Connection by - <br />Remarks: -- <br />Depth of Sewer at ConnecLLon I I I <br />ra <br />Connection made the <br />day of <br />.19 _- _ _-. Examined and Approved by/777]/_� <br />+;ram ,. Engineer <br />_ Supt. of Stlects and Sewou By_— _. _ _/ �/ <br />By _ _ _ Inepoctor <br />