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THE CITY OF EVERETT Date <br />Sketch of Proposed Sawer Connection for Building Situated on Lot—_-- <br />_ __ _Block <br />Division or Addition - 4 , QGraTJ <br />r7k_ -- Owned by_ t <br />No.— — <br />Application and Connection by <br />Depth of Sewer at Connection <br />•Cd 79i Ccu• ' ' <br />{ <br />S <br />IN <br />j� <br />.7/ 31G58 <br />Approved b (ty1ni7 <br />Connection made the- �__ _day oi__-- — <br />c cw __l9_. Examined and Apped — Y ctry engineer <br />._ Supt. of Streets and Sewers By - <br />Inspector <br />