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THE CITY OF EVERETT <br />v <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot.---,, — --- — _ <br />Division or Addition-_/- —.-- - -- �' r —Block f <br />Ovmed by_ — <br />Application cmd Connection by <br />Remarks:_ Rec. It <br />Depth of Sewer al ConnectiOu <br />N0 JNsP A7 <br />Connection made the. <br />By <br />day of _ .19_._ _. Examined and Approved by - ---CIry Engineer <br />l_ <br />Supt, o! Streets and Sewers By-- --- -- - <br />Inspector — - <br />