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THE CITY OF EVERETT <br />Date -- <br />Sketch of Proposed Sewer Connection for Building Situated on Lot- --- . - - <br />Division or Addition- - --- .--�L---� r" - --- --.__Block _ --- --- - <br />NO.— Id __21 b--/--- - -r--- -- ------ -Owned b <br />Y - - <br />Application and Connection by. <br />Remarks:---------- / - -- - Rec. # -- -� -- -- <br />Depth of Sower at ComMbo I —I-- ----- - I <br />7- z:�r-s <br />z7-7:�- i- <br />I/U t f l t 2 <br />Connection made the ??/_.—_day of —_ I l m J 19�s . Examined and Approved by <br />Supt. of Sleets and Sewers By - - - <br />By Impactor <br />29397 <br />F <br />/eity Cngmee. <br />