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. TH E CI". "� nF EVERETT �� <br />-% $ �, Date---f�.,�i�-- <br />/ <br />Sketch of Proposed Sewer Connection (or Building Situaled on LoL � "- '= �w_ __ Block __l� __ <br />Divisioa or Addition- --�,f�J1��-,5---��—�/�[Z, --_ _-- --- ---- --- <br />No.— -- � ���----lt�l T!�[JL�C— ------ -Owned by. . __f-%. _ . �f( (',Ti�i-��-c. � .'./ - - - -- <br />'�r� <br />Application and Connectioa by_�__��� ��fi: _ _ _. _ _ __ _ <br />Rem�ke:-- ---•--- ��:1 �vy" 'Ijl�/,-�!: /C' -� _ --- - <br />--Y- ---- - 1z-� � �- -- <br />Depth of S��er al Conaetlion � I I <br />� U1TTl'10/2� <br />/-f E ,� v,�. j M ( <br />C �� � � ��-�` <br />. J�.,� � A <br />p-.�..-�.��. �_� . <br />r� <br />Licensee <br />� <br />� � <br />Connection made lhe. � L�_day ot. __i�-�������� <br />By .. <br />i� <br />, , \�� . <br />� <br />_ _ _ . _19 _.� y Examined and i1PProved by_ . .t,_ l�� � t�� �L�'' <br />/ �j�� Ciry Lngineer <br />— Supt. ol Slreete and Se�van By_._ . �� F� y <br />:nepeclo� G �1 J .7 `�' _ __ <br />