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Date A 4' 7 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition- tM."—Block <br />No.- ---Owned by_7�Z AJ_ <br />Application and Connection by <br />Rec. <br />Remarks:- <br />THE CITY OF EVERETT <br />Go <br />D,otb of Sewer at Cor�necflon <br />V <br />1p <br />168 <br />-1:2 <br />Connection made the ZC'7:_�—d—ay of-- 19 Examined and Approved byor(4 City Engineev <br />SUP1 Of Sheets and Geteere <br />Inspector <br />