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THE �ITY OF EVERETT Da�e _. '�==—: <br />, ✓ r,��- <br />Kemh of Yroposed Sewer Counecti in for Building Situated on Lot - _� __ Block — <br />Divieion or Additiou __ I L�_ _. —yl------- ----- <br />No. ------ - —�'_�.1L.1 Owned bY <br />Applicn[ion and Counec[ion by —��_ �_� ^__ ��- <br />—�: <br />Remnrks : ------- ------ _ _ <br />� � <br />(kp[h of Sewer nt Gmncctinn <br />! —E�.�__��_ ! _ '_. _ �_ .__ <br />f ' <br />� <br />i <br />Licensee <br />� I_ — — _ . .- _ _I <br />I ����V <br />Counectiun mtide thc� —. --- -�1oy of ;� --192_ t. Gxaminecl nid Approved by <br />__— ' �J� <br />Supt. ot Eveets and Sewcrs. 6y--__ <br />_ - �------- — <br />6r_ _ - - — - —�----- —�_ In� � — � --- <br />� <br />C�tY EnRlneer� <br />c <br />