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A <br />Owned by L: - <br />Block—_ <br />Licensee <br />THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated un Lot <br />Dtviston or Addition <br />No. <br />, 4pplication and Connection by <br />Depth of Sewer at Connection <br />F <br />Connection made the 1 day of 0 ___.__ l9/% Examined and Approoed by <br />Supt. of Streets & Servers. 03965 City F,ngineer % <br />By -- Inspector <br />