Laserfiche WebLink
Skelch of Propased Semer <br />D1ul�ton o. Add;tion __ <br />N�. <br />T'hE C[TV OF <br />1t{ection for Building Situaled on Lnt _ <br />,flpplication and Connec(ron by _ _ <br />Depth of Sewer n( Connec(ian I <br />i <br />; ti—'—T� -- Owned <br />�'�' . �� <br />.. <br />EVERETT <br />� <br />Blac/t_ � G.=�`' <br />— Licensee <br />' I � <br />c <br />------- �1-�=(�_ILC�� ��� I <br />� <br />—� <br />r�.p, <br />T ---- <br />,� <br />Connection made llte_L,/�day of _� 191.� Exarnined and Approued <br />�L�// � �' <br />—Supl, of S(�eef & S <br />� I <br />"v• t�• QaRKNur-r <br />, <br />y , s ewers. O4%OO Cify �n <br />By � �,9 ,� , � �. � �gineer <br />'� `� Inspeclor /�. , , / ;� __ l <br />��r l , � / 1 / '� �y _ �= � _ _� �,.� .�:� -.,: .. _ `' <br />