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THE CI1 � OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated <br />/onn Lot__ . � _— _ _ Block - <br />Division or Addition_____ -- <br />No.___ `�---- n /l C d�Ownedby—�(�.-1<llf <br />Application and Connection by--. / &-/— <br />Remarks:_ - - - v <br />Depth of Sevret at Connection <br />C &-vv LctlL,OP h /n" (a. <br />104 <br />Licensee <br />C <br />Connection mad the _//P day oi___. 19- Examined and Approved by— r <br />. t _ Clty Engineer <br />of Streets and Sewen By - <br />By <br />,�Mto 15349 <br />