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THE CI Y OF <br />g Connection for Building Situated on Lot <br />EVERETT Dated— s PT 4- <br />�5 <br />-3 p � 1r �� Black_---- ---- <br />Sketcn o: Proposed ewer <br />Division or Addition^—L -A �rq�a V �Q���-5-- <br />�_3 4 /� ✓ 5 —owned by �- <br />No.-- _._-Licensee <br />Application and <br />Connection <br />Remarks:_l"QSl PC� 1 <br />DePth of Sevier at connection J <br />'/ 7 <br />I <br />L i— F.- <br />�.L.':'. — <br />Connection made the. 3 i day of —L — <br />l <br />lg .Examined and Approved by__� gincer <br />D Atnl16 i <br />_ Supt. of Sheets and Sewers BY <br />d o_ ��_IneP�ot 2 3 A� 4 <br />,By _ _ _—._.- <br />