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THE CITY OF EVERETT <br />Date <br />Sketch of Proposed Sewer Connection for Building SiWated on Lot _ .r -- Block <br />Division or Addition r_ f —4 <br />L <br />No. �`-T � y;a i[/�;-{.N i� .,: � 1....r Owned by <br />Application and Connection by i`!:,. <br />Remarks: <br />t <br />Depth of Sewet Cunnecltun\ <br />l <br />�/`t <br />l <br />low <br />F <br />l08? <br />z'2 e* e <br />_— Licensee <br />Connection made the l day of —192'/. Examined and Approved by ! r <br />City Enpinem <br />SepL of Streets and Sewers. DYV <br />d � � <br />BY __Inspector. - <br />