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4 <br />THE CITY OF EVERETT <br />Do. <br />�Al <br />f— <br />Sketch of proposed Sewer Connection for Building Situated on Lot__��-� <br />Division or Additioa� _eNzeBlock r <br />No.__ / ZO / Owned <br />Application and Connection by <br />Remarks:-__ <br />Depth of Sewer at Connection <br />-- Rea. # 139 <br />I I <br />�c PUG E T D IL <br />Connection made the_ 4.9—day of__ _ 19—. Examined and App;o ed by V cot ✓/�1/ <br />_._ ;(ty Engineer <br />Y <br />—_Sups. of Streets and Sewers By_1_� <br />By . _ _. _ _ —__ ___--j. Inspector 25G39' <br />