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THE CITY OF EVERETT <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot—;l� — �d BlockL� <br />Division or Addition �/ �/• P <br />-fir 1 / , - rT- -- <br />No — Gi Y / l�/�% ! Owned by l �f <br />Application and Connection by <br />Remarks : __ <br />Depth of Sewer at Connecllon <br />Q <br />00M) <br />Connection made the ' day of <br />By _ <br />3) <br />192-:2Examined and Approved by <br />—Supt. of Streets and Sewers. <br />_— Inspector. _ <br />Licensee <br />