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� <br />THE GIZ�Y OI�' EVERETT <br />Sketch of Proposed 3ewer Connection far Building Situnted on Lot____r______'_�_,`__________.._ Rlock______' ____—:________.._____ <br />_.— <br />Division or Addition_________ � <br />..- <br />,--�`------------- ----- -------------- --; ---------------------------------- <br />Na. ----` �-�-1-f --'-'---=--I�------------------------------O�med by -----'---`� ----=------------------ =-�---------- <br />Applialtion and connection by+-------� '�-----'-- -� --- �---=- ---------�------------------------------------ Licensee <br />Remarks -------------------------------------`�, _ _ <br />----- -------- ----------- ------------------------- -• <br />Depth of Sewer at Connection � �I I I I I <br />/: <br />J <br />a <br />� <br />I _ <br />.� � I I <br />----.,.,;_.. __ <br />1 <br />Connection n.ade tUe_J � da of___<-_�'�_` "' ____ 1�31�_.^ Examined and a� roved U •� !� , <br />----- y - - 1 P Y-- ------- .'_ <br />----- <br />— ------ <br />,� �` �j City Engineer <br />___( �Y��.. �� __ � �� _ . Sttpt. of Strcets and Sewers ' � � - � ' - � �' -� _, <br />__ "'____ __ ___._ O^7i�$V�-. -__.____..'_"_�_____"__"'___"_.y_"". <br />��� / U tj .� <br />`J2S ----!/_Y_-_ ( a-s 1--`����`-e--- _Inspector --------- -- - - --- --- --- <br />