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THE CIT' _ OF EVERETT <br />Date- > <br />Sketch of Proposed Sewer Connection for Building Situated on Lot _._ -- �— _. Block - <br />Division or Addition-_ Ifs to W 2- c <br />_Owned by- W, Q• cl c� �*m <br />Application and Connection by C%JJ� Licensee <br />Remarks:- - --_ �2[L� /1 _ ,'1ff(1! Ale? <br />Dept, of Sewer at Connection I I I <br />r <br />C <br />i <br />Connection made th --day o ` 19 S / . Examined and Approved by- � (fv1�� r <br />_ City Engineer <br />-- Supt. of Streets and Sewers By - <br />By <br />Bp _ tnepedor <br />2al 07 <br />