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THE CITY OF EVERETT <br />Skc1 1 of Proposed Seaer Connection for Building Situated on I -ttf — _ Block _-0 — -- — <br />Division or Addition 'L ��' N <br />No._z� Owned'9y-- <br />Application and connection by ; � t, C <br />Remarks— <br />Depth of Surer at Connection 1 <br />—_ _Licensee <br />Connection made the�� day of ? �_ _190 Examined and approved b — <br />((�� f Y _ is Engineer <br />f �' jell' _r —Sups. of Streets and Sewers. Q 17 2 fj By �� <br />By f' - t _ — __Inspector. _! _ <br />