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TI-IE CITY OF EVERETT <br />B 'ldin tuated on �01: _— <br />Sketch of Proposed Sewe+ Connecell.tion. w .� 1 _- <br />,.13iVisr`on or Adddipition___- �—'=' ;f _- Owed by <br />Application and connection by <br />Remarks -- <br />Depth of Sewer at Connection I <br />da of-- Examined and approved <br />Connection made the Y <br />l <br />Sup,. of Streets and Sewers. <br />_Inspector. <br />By <br />