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THE CITY OF EVERETT <br />Sk� e� of Proposed Sewer Connection for Building Situated on Lot____-------- B�ock_— <br />� — <br />Division or Addition---, -- -- —" — — <br />7 /(�� �' i/��----Owned by-- — <br />NO.- �T-�� -t-1i4' <br />Y <br />ppplication and �onnection by---- <br />��.. ks :--- __ <br />Depth of Sewer at Coiuiection � I <br />� <br />" �_ � <br />�� <br />- —.r <br />� / <br />�i� .. ., <br />_ Licensee <br />� _ .... ", <br />�_.'4;;iiiection made the-��'---"--dayof _-'-__—` -�— ---_191'-� ExaminrJ and Approved by <br />//.� FJ\� . . � . . -----$upt. of Jtrcets and Sev�ei �. �;>'------- <br />_—<�-�=—.{� y— _.. .._ <br />l% '� -.J —.—_ <br />,/`y ,.�': -�-.CLt_ ��_�,_.-.-,��.._luspec�or --- <br />�Y- — -- -- <br />_ � ..w..,s;:ie..�.... <br />� <br />-- � � � City Enginccr. <br />