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THE CITY OF EVERET , <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on i.Ot _ —Block <br />Division or Addition- %-- <br />No. --ice �% K �Pr _-Owned by <br />Application and Connection by_—-- <br />_l <br />Remarks:- <br />Depth of Sewet at Connection <br />Connection made Cho. ----day of <br />H..�. u m ru uxt • utao w, tem <br />Licensee <br />L. <br />19 _ ... Examined and Approved by _. -.-_ • , t <br />City Engineer <br />Supt. of Sneets and Sewets Oy. _. - - -- - --- --- <br />Inspedor 1430 4—_—.— <br />