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THE CITY OF EVERETT Hate 8 <br />,.. � <br />Sketch of Proposed Sewer Connection for Building Situated on Lot - - BlocL B __ <br />Division or Addition <br />No,— (YLSL—Ownedhy-- <br />Application and Connection by <br />Remarks: _ c.•�r !r, Ge�� : / <br />Depth of Sewer at Connection <br />�, 'f t G' <br />11�1. <br />Connection mode the_,. day <br />By <br />I <br />-- Licensee <br />L_ <br />1 <br />11- s • i'� <br />Examined and Approved by__ <br />City 8neineer <br />of Streets and Sewers <br />By....-_- <br />