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THE 01"Y OF EVERET Date <br />Sketch of Proposed Sewer Connection for building Sit aced on Lot /r,-'�'-%- - <br />�a Block - ''- <br />Division or Additlon--- <br />No.— <br />�_ 0 ---Owned by- -- An,_ UL CiI ' ^ _!✓ - - - - - -- <br />Application and Connection by_� <br />PP <br />141 — — -- — —----Rec. #-_ Z ti S— <br />DePlh of Sewer at Connection I <br />I <br />h esn Ak � <br />\----=-�-- <br />v <br />U dJ 17L <br />) �t <br />I ' L <br />t <br />t - <br />t <br />Connection made the. G` .day of _ 19 GL. Examined and Approved by - -city 6ngfaou <br />_ .. Supt. of 6nN1s and Sewee BY <br />28640 <br />U <br />