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i'HE CITY OF E��/ERETT <br />Sketcr of Ymposed Sewer Canncction [or Huilding Simated on Lot __,1_ <br />t <br />Piviaion or Addition _ . � �_/— ;;� --^—_— — <br />���{-- .�' � � . �� Owned bY <br />l. � ; 7"_ ; , <br />Application and Connecrion b}• _��� !.- '�f�-'L j __ <br />�: . <br />Remar!cs: _______ _ <br />�Uth ot Smier r.c Co�mection <br />___— � '/ <br />� <br />� <br />Date ,, - - <br />;--------- _ Block--- '� <br />Y�. <br />--/. . �. ' .. ' . � -��.��.: �._:.- `"i."�_. <br />Licensce <br />,�• � -- --- I — � <br />00949 <br />� <br />W <br />� � � _,1 � . � ;`,,i � <br />� . ,��i �-, ..� � <br />-� <br />Cannection mede the �� _daY of — - ' _ _192_. Exemined and Approved by � ��% ' �' �`✓� -�-• � <br />• City Enp�nnr <br />____ Sup� o[ 6trc-ts and Sewen. By <br />-- - � .� c�.i+ <br />By _ _ inapecloc � <br />