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5 <br />- — - �:�-�-.. , . , .� .i <br />� <br />� � THE CITY OF EVERE�TT � ��� "'� �; <br />; <br />� Skelch of Proposed Sewer Connection (or Quilding Situated on Lot__ _-_[- -----=— Block �'��� — <br />. . _. _ - �. <br />, ° -. : ' <br />Divisian or Addilion -- - ----' - -- -�'- ' '7"--'__�- -- -- — , <br />- i / <br />� ,,.. . _Ownedby �-, � a -!_��u.�_�'_� --- <br />No. - — - - cru .- - - - - — -- , � <br />� • - J Licensee <br />AppliCation and Conneclion by_ _---_-- ------ . �,�. � , ------ <br />Remarks: '� - - I <br />Depth of Sewer at Connectioii �..� I I 1 <br />L—_ <br />0 <br />-_- /f.C,--- - <br />1 t � <br />- -- - _ <br />- -- ��- -- <br />- -- - - I <br />� <br />�i , - .. � <br />o�c^o <br />�[ �� 19 °�'ilGxamined and Approved by .-.�---�+. . `t �'. - <br />Conncr.ion madc the._/'J_._-dayof ---��` ' Ci�y en�ineer. <br />-�., /% � ;� � . <br />�/t,, 1 . .�+�a_7.�3`"r'�-'i/j...`�._ . _sup�.ofs�rcMsaaasew�ers �ly . _�=-'J._..--�-.i.�.n-�r� /--- <br />r / '} �� <br />� gy � . -.'. ���a' � 11�'1r� �_G<�__ Inspedor . . _. - - <br />�.� � <br />�:' ..»....Fa,7....�,,.. <br />� <br />