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THE CI . 'Y OF EVERETI v <br /> DateAa <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot _.__ _ Block_ <br /> Division or Addition- <br /> No.- <br /> ddition No.__ 72 �f— -- - _Ownedby �._�i � <br /> Application and Connection by / i ------ _ Licensee <br /> Remarks:--- <br /> Depth of Sewer of ConnMloa <br /> Lmnn. •A-' f <br /> 0-A eu�lf A a �•i S�f <br /> I n <br /> Z� _o/ d� <br /> — t <br /> Connection made [he- -!_ _day of- <br /> Examined and Approved by. ��!•� %1 _ �1✓ <br /> 8up1. 01 BItNd and Satven By ���� L-t1t-�s}j'•��_ <br /> By - -- - -- - — -- --> 23579 <br />