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o5S <br />' THE CITY OF EVEh.ETT <br />Date_-_ <br />Sketch of Proposed Sewer Connection for Building,Situated on Lot - <br />Division or dcji.ligrr� Block <br />- <br />No. _—r�.,. " r- _� - -Owned by - <br />Application and Connection by. -- <br />Remarks:_ _ _ �.eJ __. <br />f/0 <br />Depth of Sewer at Comectlon <br />d�,A f3 a dam} 4- <br />�eST� <br />Connection made the- '2 y. ! `nay of -- _19-6,LC;. Examine3 and Approved by <br />Supt. of Streets and Sewers <br />hupeotor 30490 <br />By 1 <br />C <br />City Engineer <br />