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THE C. iY OF EVERET . <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />Division or Addition- _ r //r i !{ <br />- Block <br />---- —Owned by - <br />Application and Connection by_ - _ _ r✓s -,_, <br />Remarks:_ .aa , /"n ," ✓ <br />- - - -- - Rec. # <br />Depth of Surer at Connection <br />MAR, t G - a� <br />l/ <br />�- I <br />/i?r •/. <br />Connection made the :4 <br />__day of `"^^ . £.xamined rnd Approved by .._ <br />snpl. of Streets and Sew•su By .' •% <br />tnspe<lor 28731 <br />