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'HE CITY OF EVERETT <br />,ale/. of Proposed Sewer Connection for Building Situated on Lot <br />if�111worAddition <br />--------- -_--- �1------ ----- <br />/ -7 tti <br />by - — -- <br />O.p'pGoation and Connection by-- <br />Dwh of Sewer at Connection <br />I <br />Block--- -- <br />Conrxgion made 1he-1--,e�—duy of _______—. 191, Examined and Approved by <br />Supl. of Streets & Sewers. 03509 City dnginecr <br />/3y-�1'------ -- Inspector By-----=-- <br />Licensee <br />F <br />