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TI-IE CITl' OF EVEI�ETT <br /> $Feteh o�Proposed Semer Conneclion for Building Silua(ed on Lot _ __ :- .- — /3loc% <br /> Division or Addilion — "-' - ----- <br /> �r -. On+ned by —L ,,. .>�r-r <br /> No. —— — —_ � <br /> (�. '�A--":< _ Licensce <br /> ; ,�9pplication an�"Connechon 6y _ i �-LL � "�-_�=` <br /> Remnrks_ — — ----- <br /> DeplL of Se�uer af Conneclion � I i � <br /> I ,�. <br /> ` I -- --- I — <br /> — I <br /> �-- ----------- � <br /> i: <br /> � <br /> . <br /> ' \ ,'� � <br /> —i-------�--------___ --�— <br /> l.� <br /> I -- -- — I <br /> -1 I � `�' 1 � <br /> � }•. 1 _l9l(% Esmnined ard Approucd 6,u_ �? - <br /> Connection made thc T-day of ___ ___ - <br /> -:� J • � <br /> . : <br /> �' CCf <br /> . : _TSup(. o,f�$lrcels G Seu+ers. O 3 3�;. Cily ngin <br /> � <br /> � : � r',J 1 ' ' _ <br /> 1 ' � <br /> �p � l.o��' s i�,.--'`...�. � <br /> �y. � ` ;�— /nspecfor -y --- - -- <br /> .;. __ <br />