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THE CITY OF EVERETT <br />Skelcb of ProLed Sewer Connection for Buildin t led on Lot__ <br />Division or Addition- — — — <br />No._ __-0�''t - '—by4 <br />Application and Connection <br />Remarks:_ <br />Depth of Sewer at Cotarectloa I <br />'Ci <br />d <br />Z c-.I cu <br />4 11331 <br />hMA <br />t.. <br />� CV <br />Ca C.2 <br />r �r <br />o <br />••- <br />w <br />Grp <br />Connection made the../ / <br />Date <br />Block. _ _ �- <br />--- -- ------�r <br />I I 1� <br />I `w <br />i •. qa [/ • ! / //,moo ,l(t <br />is <br />7 � I <br />day of �� 19 Examined and Approved by_ Q clry sny�o«c <br />�/��j��� p�9 �, �,�� ��i�/�/_ Supt. of Sl�octa and ay' <br />Br Zi/_lL^J-,.iV�'.?��-_ -- _ - _.. By - <br />Inspector 31496 <br />