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THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection For Buildin8 Sit na d on Lot_ _ Date/ <br />Division or Addition i i -Block `7�'ff <br />Nu.___��� <br />Application�' Owned by <br />Application and Connection by %— — <br />_ <br />Remarks: <br />— Licensee <br />Depth of Sewer at Connection <br />11G:s:3 <br />Connection made the-- <br />day of .. ,, A <br />==--19W Examineand <br />d Approved by _W... M <br />Supt, or Streets and Sewers t G----iy E,rp1n <br />BY BY��=—i_ <br />Inspector .— <br />_ e <br />