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� . . _— '- .'-✓ '+' � <br /> � �O.�z�R` THE C1TY OF �EVEFtETT : --, ;� <br /> �„� Date "Y ,=.. ��. _ , <br /> : i � - f � � 1-( -7 <br /> : Sketch of Proposed Sewcr C�nnection for Huildinq Situated on Lot_G`:J—�____-___- Ei' - <br /> ` ✓� 1 '� ' "�?"? / <br /> .� . <br /> -� , <br /> Division or Addilion_"•--.L-��-_-�'-- �`--------- -- Block---' - <br /> . . , . �.. .� . �-_. � • :� <br /> No.� '-��.'f 5.��— -- ---Owned by.. �"—f.�• /"�_• <br /> � <br /> - -- _ ---- -- ---- <br /> ,�•, ... � �–� �,;� ---.;i. r– <br /> Application and Connection by� ' J__-"_ �Jf�•-ff- : f>i-�=•'--� <br /> 1 • - / 1 , ����. ___ . _ . . __. .. <br /> / '�] ( <br /> Rem�ke:_���_L�— �1 / y~'GJ f 4� /�--�-��^:,;��� � - ---- -_ - - -.Rec. #L '. .�'�� <br /> Deplh ol S��oer at Connsction � I I � <br /> _ I –_ �— <br /> /�lA/��-iV (;,,(:,".7.�. .�. <br /> /� / ✓ <br /> i 3 ` S .�~-�� 5" �� � )� �J APPLICANT: <br /> � � � ADDRESS:I'��'�� �����v �� ' <br /> : E. Z��. �,..�.� �/Z ��.��� 7�3 ��P`I� <br /> F'HONE: � <br /> I � <br /> ;- � <br /> � <br /> . / � '� � . <br /> � � - �- � `� <br /> � ��; � <br /> � � <br /> � <br /> % � � 32141 � I <br /> Connection made the. _ ___�_da of_ _ � <br /> � � ���-L �t - _--_19��xamined and rovad b �� : 'j�' -,.'V j� _ <br /> Y -• / --- �PP Y-j�' _ ' . <br /> � i �� � _ /i'�(/.�' Ciry Enqinee� <br /> _ — Supt. ol Slreets and Sewer� BY�f'��--, 'f/� .:� <br /> By_.__`7��I�-i_�_ Lp �I o_/�:. J— _. .In�pecm� � _ " .. <br />