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THE CITY OF EVERETT <br />Date -- � <br />Ske: h of Proposed Sewer Connection for Buildin3 Situated on Lot - '= � Block--��-- - <br />Division or Addition <br />No.— Owned by.--i 1�7C.c e��Y <br />1 ccssee e <br />r )jI <br />Application and Connection by W *� Licensee <br />i <br />N_ t,✓., <br />Remarks; - <br />Depth of Sewer at Connection <br />li I it <br />14 I iS 116 <br />1].svi <br />—day -Jc = t `� 19�t Examined and Approved bye_:_. <br />Connection mode the _ _y of ap- �� erdfamr <br />Sopt, of Streets and Sewers <br />�--- - �- Q Inspector <br />BY—__ _. __-__._-_ <br />r <br />