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1 i+-THE CITY OF EVERETT <br />�(j J Date 0-- <br />Sketch _ c-- --- <br />Sketch of Proposed Sewer Connection for Building Situated on Lot-_ . -�- - - <br />Division •n' Addition_ _ - - - -- - - <br />r 4 _Block_ <br />c,,.by- <br />Application- - - - <br />� iri"��,�+.�_Owned <br />1 <br />and Connection by— --_ <br />Rec.# J �_�� <br />Remarks:_ .- ----- ---- I <br />Depth of Soviet at Connection I I <br />J i <br />Connection Permit Fee <br />Connection Fee $ �" <br />off- I <br />1 9 t <br />_._19•:�r Examined and Approved by <br />Connection made the. � dtxy of--. - city Engineer <br />SUP1. of Streets and Severe By --- - • , - <br />w_ <br />inspedor <br />