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THE CITY OF EVERETT Date ,ham - <br />Sketch o sed Sewer Connection for Building Situated on Lot- : <br />r e7_ !l Block.__- <br />>( _ <br />D s ddilions—--- <br />tGv owned by_ -- <br />Application and Connection by Rec. # if <br />. F .=-i- f i C.: . Ctl :-f- <br />Remarks:--t -- I L <br />y)♦Pty of Sewer a1/Coaoacltoo <br />Connection made the _ ..day of <br />19--. Examined and Approved by__— city Engin <br />Sop,. of Streets and Sewers BY - - - - - <br />- _zkL <br />Inspector 3 42 50 <br />