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THE CITY OF EVERETT <br />Date ? <br />Sketch of Proposed Sewer Connection for Building Situated on Lot 13VI1 <br />A — <br />DivWon or Addition_ _. P > <<1 {._� S 1 + /.iLv� R, t I L) nA_Bla <br />No.— -�, <br />�-�.� -- ye a -- _—Owned <br />•y— e— <br />Application and Connection by _ ` r4 &,tx_-f #1 <br />Remarkr.__ja.� CCIO I----------- --Re <br /># <br />Depth of Sower at Connection I I I L. <br />No <br />Connection made the day of <br />By <br />1 � <br />_ __19—. Examined and Ap�ggizQved !� rl�% _ <br />i <br />Ity Eoglonr <br />Supi. of Slreots and Sewers By__ <br />Inspeclot <br />