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THE CITY OF EVERETT Date-----q,,sf— <br />_._,. <br />Sketch of Proposed Sewer Connection for Building Situated on of--- - <br />_Block ------ — <br />Division or Addition _ --- <br />_--_ __ .-.___.— :—•: �9U)Owned by <br />No. _ _ __— -- 1—_ _ Licensee <br />___--- <br />Application and Connection byRemarks: ---- �— <br />er at Connection <br />MW <br />1 <br />'t �1+hi�u• - <br />Connection made the — (day of <br />192_. <br />Examined and APprovea uY-- city Eagiueer <br />—Sups of Streets and Sewers. BY <br />_Inspector. <br />