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THE C, 1 Y OF EVERET �76-1 <br />Date <br />) / Y E 7a 'el 0 %z / _ _Black_ -` 2 <br />Skeich of Proposed Sewer Connection for Building Situated on Lot <br />DivisCM�L <br />�o 01 <br />v. _Owned by__No._L �•r •N.. n/..r. /h../s�.. ""� ------ --Licensee <br />Application and Connection by_.--, <br />�� p •. zr. S7 - <br />Remarks:L __ - / a..r•:f ve. tQ` 1 ------ —.._— Ij <br />Depth of Soviet at Comeenon • M <br />J/ u <br />(. . <br />l <br />4" <br />(Lt �� N <br />t. <br />� 3Ab> 19C • Examined and Approved by___ %� <br />Connection made the_— —daY of--- 4 f, d 'ogre, i <br />