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1 r <br />THE CITY OF EVERETT <br />Sketch c Propose Sewer Connection to- Building Situated oil Lot ----/ Z — Block <br />Division or Addition_. <br />No.----- A-Cf— .y --Owned by— <br />Applica ton and Conned/tiibn by_,, <br />Remarks: _ <br />Depth of Sewer at Connection <br />i <br />t <br />3 <br />I <br />08833- <br />Connection made the _ _ _day of _ 191_- Examined and Approved by�'�f/�_; <br />City Engineer. <br />Supt. of S4rcets and Sewers By/'c,�r1' <br />-__.inspector ___— C L-,_,,, :l` <br />