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0 <br />TI-IE CITV OF EVERETT <br />S{Zetch of Proposed Sewet Cor,necti.;n for CiuilJing Silualed on Lot __—__-- B�o�k— '`''- <br />Division or Addilion - _ .. — — <br />�,� ; . . <br />No. — ' '---- On,ned bg - ''- '"' ' �" — <br />, <br />.f�PP(icalion and Connechon 6y , • —_— _. __--_ ---- --- _ Licensee <br />Remarka - -- -- <br />De,htb of Sewer at Conneclion I I � <br />� <br />-. I <br />—II— — _ i <br />� I " <br />Conneclion maae Ihe_ —.__ day of _ __ .—_—J9/ F_xamined and fl pproocd by <br />r <br />— — Sup�. of S(rcels & Se�ucrs. O3 �� `� Cif� �nginecr <br />By._:— _ .. -. . __ __ Inspector <br />� <br />� <br />