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THE CITY OF EVERETT �� <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot---'--" _— Block <br />Division or Addition <br />No.-- st#id V<- Owned by--- <)7— �cU. t <br />Application and Connection by — �� Y _ _ Licensee <br />Remarks: _ <br />Depth of Sewer at Connection <br />Connection made the_11—day <br />t <br />Examined and Approved by ' <br />�'tY EMin`er <br />of Street: and Sewers 6y__. _ -__ _ l� .^. <br />