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,__L _---�-�-- <br />� <br /> i <br /> f <br />'` <br /> TH� �;I',CY OF EVER:ETT <br /> _ <br /> S'':et:h of Proposed Sewer Connection far B�:ilding Situatcd on Lot__—__ �—__� [3locic __ ___ _____ _ <br /> f�ivision or Addition—�______ __- -_-- — -- -- — <br /> C.,.----1�� .�— ,—��----Owned by } , <br /> Application and Connection bv_ _— __. � — Licensee <br /> Remarks: _____ — — <br /> Depth of Sewer at Connection � I I � <br /> --- -- -- -- I . <br /> - —I ---= —,------ — `��+-- — .I•— <br /> I r I.- <br /> i � <br /> j <br /> �.- � �� , <br /> , <br /> � <br /> I ---- —I— <br /> � i <br /> i <br /> � <br /> �� I �` -- ---- I _ <br /> I I <br /> � s� 08340 � � <br /> Connectic�: ria�;the _�'�_ dayof__ '��`�—___ -_.191— Exmnined and Approved by ----- <br /> . �_:� . . , . ., .. <br /> � Cdy Engi��eer. <br /> --- -` '---._._ . . .- -- ---a-- Supl. of Streets and Se�.�ers I3y _------------ ---- <br /> . .. , � . .; . , . . . . : <br /> �Y--------� �--- ----------- —Inspector ---- —_ <br /> . .,w.a,.��_•.e..�w,.. , - � <br /> l_- —' --- �._ ri.�..��.�..� - -- �� <br />