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THE CITY OF EVERETT <br />Sketch of Prol ed Sewer Connection 'or Bailding Situated on Lot-- _ _ Block <br />Division or Addition--___ _ ---- -- --- -- . <br />No.— -- -- --- -- - -- Owned by <br />Application and Connection by -- - - - - ---- -- - — —Licensee <br />Remarks : -- ------ -- -- - - ----- ----- ---- - ----- I <br />Depth of Sewer at Connection I I 1 <br />Connection made the _ __—day of—. <br />11 <br />CA <br />09s: <br />192_ Examined and Approved by <br />rt. of Streets and Sewers. t3y--------- -- <br />- Inspector. -- <br />IN <br />City Engineer. <br />