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TP-"E CITY OF EVEnETT J <br />Data Use �+/ — l7`�7 <br />tch of Proposed Sewer Connection for Building Situated on Lots___—,`/ — - � Block / 7� <br />.fii;_ ddition `) /ca r- el ✓i or y <br />No.'U�S a A tie Owned by <br />Application cnd Ccanection by �1 / :f O ill i! o . _ icense <br />Remarks: Co /I JJ P c71/o4' <br />Depth of Sewer at Connection I I <br />I <br />IiF7'�t <br />/ <br />Connection made the % -_day o ��� — 19 Examined and Approvad by_ • C+ B�, r *r <br />City Engineer <br />Supt. of Street$ and Sewers By <br />B4e/"\ _— Inspector 1 $% 3 J U <br />��e. a aeon• ru nsw rn�. <br />