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THE CITY OF EVERETT <br />xwProposed Sewer Connection for Building Situated on Lot <br />Division or Addit'on <br />— Y <br />No. --- --'— �, Owned by <br />Application and Connection by U1 <br />Remarks: . <br />Depth of Sewer at Connection <br />I <br />Connection made the ?day of <br />By <br />M 192,(-. Examined and Approved by . <br />Sept, of Streets cold Sewers. By <br />Inspector._ —_-- <br />Date <br />3lock.. <br />Licensee <br />