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Tr-!� C:IT'Y C�F" EVERETT Date --/'-� z1��� <br />Ske[ch of Proposed Sewer Connection for Building 8ituated mi Lot __� �'_-_ _�-------- Block _ <br />2" --- - <br />Divieion or Addi[ion -_._ _.� J� !-t �-' �--'---"-- ��---------- - —1 <br />Na _3=��`aG� � " -, , _ ��' Owned bY ��n�I % � v>�/ / � rt <br />� �� �� " �� � �.����/ � 1 rr'= Licensee <br />A�n�Plicn[ion and Connection bY -_-- =!-' . �-� ' ��L-1 �' '1------ ----- <br />. �P�:"'.'�s•': <br />� —� 1..�. <br />,C3�.� /� __ .S � L� <br />�aU <br />�r. <br />�l J <br />�1 <br />�� <br />rn <br />I p111� S � •_-- __ _ --�ih711. <br />.-¢-.-_�rr� 0 6 r�, � J� i `:' �� • I <br />I <br />Cunnec[iom m�de the L� day of � 192 � <br />10��'i <br />Examined and Approved <br />•�- <br />. Sup4 0[ �veets and Sewera. QY <br />---- r <br />BY--- ��� ��_�_ Inspector. — <br />(. r <br />