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THE CITY OF EVERETT V <br />Date_/R <br />Sketch of Proposed Sewer Connection for Building Situated on <br />Division or Addition—__� I �_ _--Block--- <br />No._ Owned b _ <br />y_�— <br />Application and Connection by n <br />Aemarks:_. 10 c, 0 <br />Depth of Saver at Connection <br />Q3) <br />r�Quu- L <br />Connection made the_ O <br />By <br />