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THE CITY OF EVERETT <br />Date --- <br />Sketch of Proposed Sewer Connection for Building Situated ou Lot __ _ _ "+'Block i-- <br />Division or Addition <br />No. , <br />Owned by L <br />Application and Connection by--. '* T Licensee <br />Remarks : ` ' - 1 ' -' h : ,; : �L% 'r-4 �.• +� a� -S <br />Delith of Sewer at Connection <br />r / <br />Connection made the___(_ � _day of ! I 192r-. Ezmnined n i 1pproved by' 1 { ' rf3 __ F <br />'7 a-./ <br />CItY Eaglottr <br />Supt. of Streets and Sewers. By _� !l• <br />By _ _ — Inepector. qftmlk <br />