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THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_____ / 2__ ------- Block___ c_f=__________---- <br />Divisimi oi.AddiLion___..____._r------------------------------------- __________.__. <br />L, _. <br />' ----Owned by .--- <br />Application and Connection b a__c.-- _:--'_------------------- - Licensee <br />Remarks ----------------- <br />Depth of Sewer at Connection <br />----------------------------------------------------------— ---------------------- <br />I I <br />Coy„ wtionmadethe._______dayof_____-_- <br />rS <br />Y,. <br />S MH <br />.----_191. Examined and Approved by_ --------''--- ---=-..: -- <br />----------------- ___. --Supt. of Streets and Sewers G'G 1.G1 - City Engineer. <br />B -------Inspector. By -� = -� - - - �n -=---- <br />-!-Y�---------- <br />