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THE CITY OF EVERETT � � <br />� . z/-Zy <br />S`I�etci� -Proposed Sewer <br />Divieion or Addi <br />rro. 3 9 z .s <br />Application e �:onnection <br />� <br />.i <br />Remerks : _ —___ _- -�' <br />Ikpth of Sewgr nt Cunnectfon <br />:�.� r: ' -? . C, .f <br />• �,N..w+�e �•a,�.�f � <br />.� <br />` ������. ..t�...:�� <br />!/ ` � <br />/' <br />�c'.•�,tie"'��' �{ r,:.t_ �� F �• <br />i <br />l�L.i-{ ' � `` t -_- <br />,.. ,.. <br />/' ' <br />/" ,.' /�/ <br />". �- - /_ B -or - iszL_. <br />- -�`� ��---- <br />Date <br />/ ,, Z / <br />[or ilding S'ttuated ou LoL- �-!- -.-.--- - Block� t----- <br />, <br />t <br />� -T-^ =�� - - � f,� .��-2w-c...• <br />�-(��L � Owueci by —1! ' �'� � , <br />� <br />��i <br />� <br />Licensee <br />� <br />/ ., <br />00�21 <br />Examined und A,�prov � <br />____ Supt of £troet� and Sewen. <br />Innpcct� � <br />By �� - _ <br />—� <br />1 f <br />oZ,.a K,p <br />Clty Enpinar <br />