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THE ci1Y Or EVERETT <br />Sketch of Proposal Sewer Connection for Building Situated on Lot ---- �, �2 t-------------- Block----- ---- <br />Division or Add'+.ion-_-- __' -------------------------- - --- <br />No.�/L,'C_�__�_ N___ t,�a� _7�,/j �_______________ <br />-----�-----"tl---%---�--�-- �L�--�`-;O�w/ned by -------------------- <br />Application and Connection Uy_____ _J-�_'_------------------------------------------- Licensee <br />Remarks ----- ------------------------------------------------------------ <br />Depth of Sewer at Connection y- I <br />�i�� l <br />Conne ion made the . -, __dayof___,_e_�__,!_________19]/� Examined and Approved bye_- <br />fe of Streets and Sewers 05723 City Engineer. .. <br />G% E �� Insp. By —�- <br />y- --------- ector. = <br />