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� <br />� THE CITY OF ��ERETT ! <br />� of Proposed Sewer Connection for Building Situated mi Lot_____ I31ock Jr '`Z�� <br />. �� . -....tr..' _ _ <br />Division or Addition__.___ - <br />-�-y-- -' ---._,,.��-r- <br />% i � ir'� <br />No.--_�—f—.'--�--%Jt.L.�:/l � ' t� _—OwnedbY- <br />�efion and Connection by__. i _ _ _� <br />�re- � <br />Remarks: - ._ _ __., _ . ...__� <br />D — <br />`---=.-� '—%�—' =� � ' _.__ <br />�� . d3-^--�- <br />— --_Licensee <br />epth of Sewer at Connection <br />I�► _--� � � <br />M■� <br />� <br />� <br />Connection made the—_dayof__ <br />, . , `— <br />�>'- ------- <br />_ _ -z.-. �.... _ <br />