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i <br />THE CITY OF EVERETT <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lest <br />Block -_-- - -- -- -- - <br />ivi4W Addition <br />No. _ <br />-- - Owned by <br />Application and Connection by <br />Remarks: -r/. - r r - <br />- -- ----- -- --- <br />DepikoofcSS.ewer at Conneptiun I I <br />a <br />i <br />Licensee <br />R <br />101? <br />Connection made the _ __ __ _day of _ __192 Examined and Approved by _ <br />City Engineer <br />Supt. of Fireets and Sewers. I3 <br />By—s� (/ , / Inspector. <br />