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THE CITY OF EVERETT <br />;,uetcu of Proposed Sewer Connection for Building Situated on Block�p <br />Division or Addition V ------ -- ---- ---- -- — <br />No,�%�!'. U��'L--------- Owned by L - -- -- -- <br />Application and Connection by __ Licensee <br />Remarks: —__ -- --_- — <br />Depth -at -Sewer at Connexion I 1 <br />3cru.vw <br />�sccf ?4-3 <br />let e' -) f, e e -t <br />i <br />7 <br />/`-e-mil.-,-�-e / <br />D9�F0) <br />r <br />Connection made the day of ���d _ 192 Examined and Approved by �-'' r�•!�� <br />/ City Engineer. <br />_Supt. of Streets and Sewers. By-- <br />BY — <br />Inspector. <br />— <br />