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THE CITY OF EVERETT <br />Sketch of Proposed Sewer in <br />Connection for Build j _ Q Situated on Lot <br />Division or Addition <br />Application and Connection by <br />Remarks: -- <br />Depth of Sewer at Connection <br />Owned <br />Date �,�- <br />A' <br />=— <br />_— Block '— <br />Licensee <br />1 <br />-' <br />Connection made the `� day of -L:' I- -S' 192 . <br />1053.I <br />Examined and Approved by <br />Supt. of Streets and Sewers. By <br />A. <br />13Y - - _ — t�°e,! n Inspector. <br />r' <br />r l i <br />MY EnRlneer <br />