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THE CIT1r OF EVERETT <br />Date ' <br />• f [ y <br />Proposed Sewer Connectiop for Building Sitonted oil Lot_ / �: i �%� Block ' <br />Division or Addition <br />--r .-- — — Owned by <br />�... <br />Application and Connection by _�—`'- • 1_, _, .:� �w__ __ <br />Remarks <br />M it nt ',lW i�cnu❑ I <br />10r <br />*W <br />00959 <br />r <br />f� <br />licensee <br />_ I n <br />ecii 11 made the c:ay of V, %C 192 J. Examined and Approved by f_ � _ ; _•�. �w Lq <br />Supt. of Streots and Sewers. >jy-Cnye_ .� � •' r1 .' f °R�Ont <br />By ?:•i.!. / Inspector. <br />