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THE CITY OF EVERETT Date 3h <br />Sketch )I Proposed Sewer Connection for Building Situated on lot — <br />Division <br />Division or Addition_ _-n —_ - . <br />No.� � _ —Owned by-�S /1 A& — — - <br />' <br />Application and Connection by_ 14-14Z w Q ' <br />Aemazke:_ /0I _--- _.--- ------_--_____Rec. # <br />�/G 7 <br />Depth of Sewer at Connection <br />I I I I- <br />4�� 20pD� <br />`f � � t OtA,k G, G Jw.r fUc <br />err R % ✓5 P�•- .4-�-1 �1 <br />170 <br />V7 <br />Connection made the. 070 ` day of -_ 19 S -. Examined and Approved by.-g1 J' COL j ? <br />City Engfeeer <br />Supl, of Streelrrn�andSeware fly—. Hy _ -.. _ _.-- Inspector ! 6148 <br />