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�- THE CITY OF EVERETT <br /> Sktteh of Propo 1 Sewer Connection tor BuildinQ Situated on Lot_ � " � �� � ^--� Block�� _ <br /> =� ,-� <br /> Division or AddiHon { �� c:.' _ , _ . ____�f_�-��--.'__----;- - - - - <br /> � -� ��- . � "� � ' t - <br /> ' No,_-.,�_ _ Owned by - LT'- /�- --=r,� .=`- --��- - --- <br /> .��. � <br /> . ,.., �"d��, <br /> Application and Connection by '--�-----�---�" - - --Licensee <br /> ' Remarks : -- --- <br /> � Depth of Sewer at Connectioo I I I � <br /> : <br /> ��� <br /> . --I-- --� --�C^'=i_.'_�-_`'-_.`.yr�—'-t"'� I <br /> • I I <br /> ,� <br /> . ,� <br /> �t <br /> . �4� � .. .... f_. ,� �� <br /> l� : <br /> -'-- -?-'-s--- --- I- <br /> ' }� ; � + � <br /> � A I ' h <br /> � � j. °3 `�L- <br /> � <br /> � ' : <br /> , �----�>-,' • �--� . . -- !- <br /> � o� � e.�.._.__�._� � <br /> . , ; <br /> Connection made lhe day of__ —192_ Examined and Approved by—_�� � `�'` � _ <br /> !r: c��>• e���o«.. <br /> ---- --Supt. of Strcds and Scwcrs. Bp � �.� -r� �.� : -1 _. <br /> BT_ . _ luipcclor. --- '�� ' �_(T_ <br /> � <br />