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THE CITY OF EVERETT Dale cis#, /9L' <br />Sketch of proposed Sewer Connection for Building Situated on LoL.lCCIL - / - - <br />Division or Addition_ _ <br />Ne, /-/c /je LI `'er r'( N Z _Block <br />%Owned by_ <br />Appl[cation and Connection by- -----'---� <br />Remarks: - <br />Depth of Sewer at Coonecllon I I <br />W-M <br />7 1 -" i <br />Connection made the. ___.__-day of - <br />19 Examined and Approved by_ A7, y o w t <br />City Cnelseer <br />L� 1✓��Cbrr/. <br />Supt. ofSlrnb and Sewn BY_—�---- <br />S7 - ------.__.- -- - —.- - - Inspect« <br />