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THE CITY OF EVER.ETT <br />Sketch of Proposed Sewer rom:ection for Building Situated un Lot__________________________ Block_________',' <br />------------- <br />Divisio.i or Addition ----- <br />------------------------------------------------------------ ------------------ <br />No. _`--=--------------- ------Owned b --- - <br />--- - -- -- --- - ---}---------- <br />Application and Connection l,v ------ __ <br />----..__--------------------= Licensee <br />Remarks - - - - - ------------ - <br />---------------------------------------------------------- <br />Depth of Sewer at Connection I <br />I If <br />Connection made the_ A -_day of---- Ia ----__ <br />,,(' --- ----------------------- <br />./C___1 101-',_ Examined and Approved hy____ <br />------B-- ,'�� �O ___-___ Supt. of Streets and Sewers ��7` City Engineer. <br />y--- -? ---------Inspector. g <br />G <br />