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THE C. FY OF E'VERET <br />Date /� M A t <br />Sketch of Proposed Sewer Connection for Building Situated on Lot—_-_ ____ _ _. Block—_-- <br />Division or Addition__i �,iJ 7_;E, % = ��T rZ #q- T — <br />No._Z \ 7— 5 2 AJ ue— _Owned by_ _J AE S'— <br />Application and Connection by — Sit AK Rn �G __ _ _ Licensee <br />Remarks:_j O <br />Depth of Sewer at Connection I <br />JE: D 17 09e S (' <br />14�_-y..7.0/ - <br />3 <br />c 4" , <br />3�7 6 <br />Connection made the 1 '2_day of_-.— <br />_ _19�1 — Examined and Approved by_Z <br />y • C UL V i � <br />— Supt. <br />of Streets and :{ewers By ��. 2 <br />City Engineer <br />By_ - - _. _ _—.--__.__ _._. <br />- Inspector <br />28568 <br />f <br />