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THE CITY OF EVERETT � �� � <br />Date �_� �:• _J <br />q /P <br />Skeich of Proposed Sewer Conneciion (or Huilding Situated on Lot_ I Q' 1�- Z� <br />tY- � ) <br />Division or Additio� - `�2� �ial � �• g�a�k (• �/ <br />- - � — -- - - - ----- <br />e _ <br />No.-_ _ZU_ . �--.S� .J � -%�—� ` /-' �-�r`—Owned by. C �'�y-�6�.; ��r+-�.�Q �„`_�'1•�-_ <br />Application and Connection by_ �'/__!�-G!L . �_�L.�:LLt�y^ __ ___ _ _ _ <br />Ae:narka:- -,�,- S'�--_ � / _ Rec. � � j7� � s <br />- -C�7�"J`' � - <br />--� I �- I L- <br />DopIL ol Sav�er al Connetllon <br />�o <br />� ��,� <br />5 � � �� � <br />� _1��15 <br />Connection made lhe- <br />By <br />� <br />_� <br />� <br />� <br />I <br />� <br />day oi _ ' 19_ __. £xamined and Approved by_���/_�__Cr0_�.__l��ry _ <br />City Engineer <br />- Sup1. ol Slmels and Sowere By__. _____ ___ <br />Inepoclor ',_ ___ _ _ ` -!��'��� <br />