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THE 0 fY OF EVERET', <br />Date (t 7 _ <br />Sketch of Proposed Sewer Connection for But fng Situated on Lot Block -. <br />Division or Addition <br />No._ - _�_'l$. <br />-.. n <br />Application and Connepction by. _-__- _ Licensee <br />Remarks:- <br />Depth of Sevier at Connection <br />n <br />C& ate S W o, <br />�pS <br />0 <br />�7 7 <br />Connection made the. _ day oL _. .190 . Examined and Approved b <br />/� r' f:0yfrrNl <br />_ Supl. of Slroole and Sewers By T�SO'f <br />21142 <br />