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THE CITY OF EVERETT ,..; <br />Date __�-a9 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot — <br />Division or Addition— Block_ _ <br />1 :i// rywT <br />No._ -- --- --Owned by. ----- <br />Application and Connection by <br />Remarks:— - -- --- i.iq ` w� 2 Rec. # IV 77 7 <br />Depth of Sewer at Connection I I <br />Connection made the. <br />By <br />day of _ -- <br />Is <br />C <br />..: <br />_ —19_. Examined and Approved by. <br />City ^Engineer <br />Supt. of Monte and Sowers, By- _ - -- ----Of- • A". - t v r <br />_ —__ Inspector <br />t/ <br />