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THE CITY" OF' EVERETT `) <br />Date y—et <br />Sketch of Proposed Sewer Connection for Building Situated on Lot _�l_—_' _. Blockt <br />Division or Addition ' <br />No. 3 . y lti r _ _z• -- Owned by ✓j t..�,,i} s�k: <br />Application and Connection by ___' -' '_ __ Licensee <br />Remarks : <br />L l--ower at Connection <br />I E 00 ;'�l 1 <br />Connection made the day of —_ _ (�: __� I92__. Examined and Approved by <br />SupL of Streets and Sewers. By ' <br />�f jj,�. .r� r <br />nv _ ��'�"'�+cP� _Inspector. <br />City E0,,,,r <br />